Samuel E Kim
Dentist, Oral and Maxillofacial Surgery in Glen Rock, New Jersey
1437783107- Practice location
- 385 S Maple Ave Ste 207, Glen Rock, NJ 07452-1545
- Phone
- 201-380-2236
- Fax
- —
- Last updated
- August 8, 2024
Samuel Eungook Kim is a Dentist, Oral and Maxillofacial Surgery based in Glen Rock, NJ. Samuel Eungook Kim practices in Glen Rock, NJ. The NPI Number for Samuel Eungook Kim is 1437783107 and holds a License No. 14093 (CT). The current practice location address for Samuel Eungook Kim is 385 S Maple Ave Ste 207, Glen Rock, NJ 07452-1545 and can be reached out via phone at 201-380-2236.
Provider Profile Details
- NPI Number
- 1437783107
- Provider Name
- Samuel Eungook Kim
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 385 S Maple Ave Ste 207, Glen Rock, NJ 07452-1545
- Phone Number
- 201-380-2236
- Primary Taxonomy
- Dentist, Oral and Maxillofacial Surgery · 1223S0112X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 2, 2020
- Last Update Date
- August 8, 2024
- Certification Date
- August 8, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 385 S Maple Ave Ste 207
Glen Rock, NJ 07452-1545 - City
- Glen Rock
- State
- New Jersey
- Zip
- 07452-1545
- Phone Number
- 201-380-2236
Provider Business Mailing Address Details
- Address
- 7 Linwood RD N
Port Washington, NY 11050-1411 - City
- Port Washington
- State
- NY
- Zip
- 11050-1411
- Phone Number
- 516-497-8068
License Information
- License Number (1)
- 14093
- License State (1)
- CT
- Taxonomy (1)
- Dentist, Oral and Maxillofacial Surgery · 1223S0112X
- License Number (2)
- 22DI03027100
- License State (2)
- NJ
- Taxonomy (2)
- Dentist, Oral and Maxillofacial Surgery · 1223S0112X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Oral and Maxillofacial Surgery providers near Glen Rock, NJ
View all Dentist, Oral and Maxillofacial Surgery providers in Glen Rock →- Dr. Manaf Saker, DMDDentist, Oral and Maxillofacial Surgery · NPI 1861417040
- Dr. Stephen F Haggerty, DDSDentist, Oral and Maxillofacial Surgery · NPI 1407938012
- Dr. Tarun N Kirpalani, DMDDentist, Oral and Maxillofacial Surgery · NPI 1790171536
- Ridgewood Oral Surgery Center LLCDentist, Oral and Maxillofacial Surgery · NPI 1659944601
Frequently Asked Questions
What is the NPI number of Samuel E Kim?
The NPI number of Samuel E Kim is 1437783107. It was assigned on March 2, 2020 and is currently active in the NPPES registry.
What is the specialty of Samuel E Kim?
Samuel E Kim is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in CT under license number 14093.
Where does Samuel E Kim practice?
The practice location is 385 S Maple Ave Ste 207, Glen Rock, NJ 07452-1545. The office can be reached at 201-380-2236 (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 1437783107 directly on the NPPES registry website.