Active NPIIndividual providerSole proprietor

Dr. Kevin Kim, DMD, PHD

Dentist in Canton, Massachusetts

NPI Number1407598600
Practice location
95 Washington St Ste 222, Canton, MA 02021-4009
Fax
—
Last updated
December 2, 2022

Kevin Kim is a Dentist based in Canton, MA. Kevin Kim practices in Canton, MA and has the professional credentials of DMD, PHD. The NPI Number for Kevin Kim is 1407598600 and holds a License No. DN1859373 (MA). The current practice location address for Kevin Kim is 95 Washington St Ste 222, Canton, MA 02021-4009 and can be reached out via phone at 781-451-3150.

Provider Profile Details

NPI Number
1407598600
Provider Name
Kevin Kim
Credential
DMD, PHD
Provider Entity Type
Individual
Gender
Male
Address
95 Washington St Ste 222, Canton, MA 02021-4009
Phone Number
781-451-3150
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
April 8, 2022
Last Update Date
December 2, 2022
Certification Date
December 2, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
95 Washington St Ste 222
Canton, MA 02021-4009
City
Canton
Zip
02021-4009
Phone Number
781-451-3150
Canton, MA 02021Get directions →

Provider Business Mailing Address Details

Address
20 Hammond Pond Pkwy
Chestnut Hill, MA 02467-2150
City
Chestnut Hill
State
MA
Zip
02467-2150

License Information

License Number
DN1859373
License State
MA
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Kevin Kim, DMD, PHD?

The NPI number of Dr. Kevin Kim, DMD, PHD is 1407598600. It was assigned on April 8, 2022 and is currently active in the NPPES registry.

What is the specialty of Dr. Kevin Kim, DMD, PHD?

Dr. Kevin Kim, DMD, PHD is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number DN1859373.

Where does Dr. Kevin Kim, DMD, PHD practice?

The practice location is 95 Washington St Ste 222, Canton, MA 02021-4009. The office can be reached at 781-451-3150 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407598600 directly on the NPPES registry website.

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