Active NPIIndividual provider

Chong Y Kim

Dentist in West Springfield, Massachusetts

NPI Number1447711346
Practice location
935 Riverdale St, West Springfield, MA 01089-4656
Fax
—
Last updated
July 15, 2019

Chong Yon Kim is a Dentist based in West Springfield, MA. Chong Yon Kim practices in West Springfield, MA. The NPI Number for Chong Yon Kim is 1447711346 and holds a License No. 12571 (CT). The current practice location address for Chong Yon Kim is 935 Riverdale St, West Springfield, MA 01089-4656 and can be reached out via phone at 315-295-2589.

Provider Profile Details

NPI Number
1447711346
Provider Name
Chong Yon Kim
Provider Entity Type
Individual
Gender
Female
Address
935 Riverdale St, West Springfield, MA 01089-4656
Phone Number
315-295-2589
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
March 25, 2019
Last Update Date
July 15, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
935 Riverdale St
West Springfield, MA 01089-4656
Zip
01089-4656
Phone Number
315-295-2589
West Springfield, MA 01089Get directions →

Provider Business Mailing Address Details

Address
P.o. Box 20879
Barrigada, GUAM 96921
City
Barrigada
State
GUAM
Zip
96921

License Information

License Number
12571
License State
CT
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 Chong Y Kim?

The NPI number of Chong Y Kim is 1447711346. It was assigned on March 25, 2019 and is currently active in the NPPES registry.

What is the specialty of Chong Y Kim?

Chong Y Kim is registered under the primary taxonomy Dentist (code 122300000X), licensed in CT under license number 12571.

Where does Chong Y Kim practice?

The practice location is 935 Riverdale St, West Springfield, MA 01089-4656. The office can be reached at 315-295-2589 (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 1447711346 directly on the NPPES registry website.

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