Dr. Dong Woong Kim, DDS
Dentist, General Practice in Fort Lee, New Jersey
1457635112- Practice location
- 2015 Center Ave, Fort Lee, NJ 07024-4707
- Phone
- 201-592-1046
- Fax
- —
- Last updated
- March 28, 2016
Dong Woong Kim is a Dentist, General Practice based in Fort Lee, NJ. Dong Woong Kim practices in Fort Lee, NJ and has the professional credentials of DDS. The NPI Number for Dong Woong Kim is 1457635112 and holds a License No. 22DI02482600 (NJ). The current practice location address for Dong Woong Kim is 2015 Center Ave, Fort Lee, NJ 07024-4707 and can be reached out via phone at 201-592-1046.
Provider Profile Details
- NPI Number
- 1457635112
- Provider Name
- Dong Woong Kim
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 2015 Center Ave, Fort Lee, NJ 07024-4707
- Phone Number
- 201-592-1046
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 29, 2011
- Last Update Date
- March 28, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2015 Center Ave
Fort Lee, NJ 07024-4707 - City
- Fort Lee
- State
- New Jersey
- Zip
- 07024-4707
- Phone Number
- 201-592-1046
Provider Business Mailing Address Details
- Address
- 2015 Center Ave
Fort Lee, NJ 07024-4707 - City
- Fort Lee
- State
- NJ
- Zip
- 07024-4707
- Phone Number
- 201-592-1046
License Information
- License Number (1)
- 22DI02482600
- License State (1)
- NJ
- Taxonomy (1)
- Dentist, General Practice · 1223G0001X · Primary
- License Number (2)
- 010719
- License State (2)
- CT
- Taxonomy (2)
- Dentist · 122300000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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. Dong Woong Kim, DDS?
The NPI number of Dr. Dong Woong Kim, DDS is 1457635112. It was assigned on September 29, 2011 and is currently active in the NPPES registry.
What is the specialty of Dr. Dong Woong Kim, DDS?
Dr. Dong Woong Kim, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02482600.
Where does Dr. Dong Woong Kim, DDS practice?
The practice location is 2015 Center Ave, Fort Lee, NJ 07024-4707. The office can be reached at 201-592-1046 (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 1457635112 directly on the NPPES registry website.