Active NPIIndividual providerSole proprietor

Dr. Andrew D Kim, DDS

Dentist, Oral and Maxillofacial Surgery in Newark, New Jersey

NPI Number1578517801
Practice location
573 Martin Luther King Jr Blvd, Newark, NJ 07102-1215
Fax
—
Last updated
September 23, 2010

Andrew D Kim is a Dentist, Oral and Maxillofacial Surgery based in Newark, NJ. Andrew D Kim practices in Newark, NJ and has the professional credentials of DDS. The NPI Number for Andrew D Kim is 1578517801 and holds a License No. 20618 (NJ). The current practice location address for Andrew D Kim is 573 Martin Luther King Jr Blvd, Newark, NJ 07102-1215 and can be reached out via phone at 973-621-6678.

Provider Profile Details

NPI Number
1578517801
Provider Name
Andrew D Kim
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
573 Martin Luther King Jr Blvd, Newark, NJ 07102-1215
Phone Number
973-621-6678
Primary Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X
Sole Proprietor
Yes
Provider Enumeration Date
May 20, 2006
Last Update Date
September 23, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
573 Martin Luther King Jr Blvd
Newark, NJ 07102-1215
City
Newark
Zip
07102-1215
Phone Number
973-621-6678
Newark, NJ 07102Get directions →

Provider Business Mailing Address Details

Address
1319 Anderson Ave
Suite #d
Fort Lee, NJ 07024-1770
City
Fort Lee
State
NJ
Zip
07024-1770

License Information

License Number
20618
License State
NJ
Taxonomy
Dentist, Oral and Maxillofacial Surgery · 1223S0112X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Dentist, Oral and Maxillofacial Surgery providers near Newark, NJ

View all Dentist, Oral and Maxillofacial Surgery providers in Newark →

Frequently Asked Questions

What is the NPI number of Dr. Andrew D Kim, DDS?

The NPI number of Dr. Andrew D Kim, DDS is 1578517801. It was assigned on May 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Andrew D Kim, DDS?

Dr. Andrew D Kim, DDS is registered under the primary taxonomy Dentist, Oral and Maxillofacial Surgery (code 1223S0112X), licensed in NJ under license number 20618.

Where does Dr. Andrew D Kim, DDS practice?

The practice location is 573 Martin Luther King Jr Blvd, Newark, NJ 07102-1215. The office can be reached at 973-621-6678 (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 1578517801 directly on the NPPES registry website.

Browse related providers