Tae K Kim, DDS
Dentist, General Practice in Garwood, New Jersey
1417504614- Practice location
- 450 South Ave Apt 342, Garwood, NJ 07027-1285
- Phone
- 213-604-5723
- Fax
- —
- Last updated
- August 15, 2022
Tae Keun Kim is a Dentist, General Practice based in Garwood, NJ. Tae Keun Kim practices in Garwood, NJ and has the professional credentials of DDS. The NPI Number for Tae Keun Kim is 1417504614 and holds a License No. 22DI02888000 (NJ). The current practice location address for Tae Keun Kim is 450 South Ave Apt 342, Garwood, NJ 07027-1285 and can be reached out via phone at 213-604-5723.
Provider Profile Details
- NPI Number
- 1417504614
- Provider Name
- Tae Keun Kim
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 450 South Ave Apt 342, Garwood, NJ 07027-1285
- Phone Number
- 213-604-5723
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 22, 2019
- Last Update Date
- August 15, 2022
- Certification Date
- August 15, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 450 South Ave Apt 342
Garwood, NJ 07027-1285 - City
- Garwood
- State
- New Jersey
- Zip
- 07027-1285
- Phone Number
- 213-604-5723
Provider Business Mailing Address Details
- Address
- 450 South Ave Apt 342
Garwood, NJ 07027-1285 - City
- Garwood
- State
- NJ
- Zip
- 07027-1285
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 22DI02888000
- License State (2)
- NJ
- Taxonomy (2)
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, General Practice providers near Garwood, NJ
View all Dentist, General Practice providers in Garwood →- Dr. Craig Rosenthal, DDSDentist, General Practice · NPI 1427149830
- Dr. John G Bender III, DMDDentist, General Practice · NPI 1538358155
- Dr. Josephine M Todaro, DMDDentist, General Practice · NPI 1326237892
- John V Bender Jr., DMDDentist, General Practice · NPI 1578349031
- Smilist Dental Of New Jersey LLCDentist, General Practice · NPI 1376053389
Frequently Asked Questions
What is the NPI number of Tae K Kim, DDS?
The NPI number of Tae K Kim, DDS is 1417504614. It was assigned on August 22, 2019 and is currently active in the NPPES registry.
What is the specialty of Tae K Kim, DDS?
Tae K Kim, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02888000.
Where does Tae K Kim, DDS practice?
The practice location is 450 South Ave Apt 342, Garwood, NJ 07027-1285. The office can be reached at 213-604-5723 (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 1417504614 directly on the NPPES registry website.