Siwoo Kim
Dentist in Gaithersburg, Maryland
1558112151- Practice location
- 10201 Washingtonian Blvd Apt 514, Gaithersburg, MD 20878-8310
- Phone
- 443-996-0507
- Fax
- —
- Last updated
- August 7, 2025
Siwoo Kim is a Dentist based in Gaithersburg, MD. Siwoo Kim practices in Gaithersburg, MD. The NPI Number for Siwoo Kim is 1558112151 and holds a License No. 18849 (MD). The current practice location address for Siwoo Kim is 10201 Washingtonian Blvd Apt 514, Gaithersburg, MD 20878-8310 and can be reached out via phone at 443-996-0507.
Provider Profile Details
- NPI Number
- 1558112151
- Provider Name
- Siwoo Kim
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 10201 Washingtonian Blvd Apt 514, Gaithersburg, MD 20878-8310
- Phone Number
- 443-996-0507
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 1, 2024
- Last Update Date
- August 7, 2025
- Certification Date
- August 7, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 10201 Washingtonian Blvd Apt 514
Gaithersburg, MD 20878-8310 - City
- Gaithersburg
- State
- Maryland
- Zip
- 20878-8310
- Phone Number
- 443-996-0507
Provider Business Mailing Address Details
- Address
- 5 Cabot RD Unit 338
Medford, MA 02155-5295 - City
- Medford
- State
- MA
- Zip
- 02155-5295
- Phone Number
- 443-996-0507
License Information
- License Number (1)
- 18849
- License State (1)
- MD
- Taxonomy (1)
- Dentist · 122300000X · Primary
- Taxonomy (2)
- Student in an Organized Health Care Education/Training Program · 390200000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Gaithersburg, MD
View all Dentists in Gaithersburg →Frequently Asked Questions
What is the NPI number of Siwoo Kim?
The NPI number of Siwoo Kim is 1558112151. It was assigned on April 1, 2024 and is currently active in the NPPES registry.
What is the specialty of Siwoo Kim?
Siwoo Kim is registered under the primary taxonomy Dentist (code 122300000X), licensed in MD under license number 18849.
Where does Siwoo Kim practice?
The practice location is 10201 Washingtonian Blvd Apt 514, Gaithersburg, MD 20878-8310. The office can be reached at 443-996-0507 (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 1558112151 directly on the NPPES registry website.