Active NPIIndividual provider

Dr. Mina Kim, DDS

Dentist, General Practice in Fort Lee, New Jersey

NPI Number1578754008
Practice location
328 Bridge Plz N Apt 1H, Fort Lee, NJ 07024-5013
Fax
—
Last updated
August 8, 2007

Mina Kim is a Dentist, General Practice based in Fort Lee, NJ. Mina Kim practices in Fort Lee, NJ and has the professional credentials of DDS. The NPI Number for Mina Kim is 1578754008 and holds a License No. 22DI02330900 (NJ). The current practice location address for Mina Kim is 328 Bridge Plz N Apt 1H, Fort Lee, NJ 07024-5013 and can be reached out via phone at 201-947-8168.

Provider Profile Details

NPI Number
1578754008
Provider Name
Mina Kim
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
328 Bridge Plz N Apt 1H, Fort Lee, NJ 07024-5013
Phone Number
201-947-8168
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
August 8, 2007
Last Update Date
August 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
328 Bridge Plz N Apt 1H
Fort Lee, NJ 07024-5013
Zip
07024-5013
Phone Number
201-947-8168
Fort Lee, NJ 07024Get directions →

Provider Business Mailing Address Details

Address
328 Bridge Plz N Apt 1H
Fort Lee, NJ 07024-5013
City
Fort Lee
State
NJ
Zip
07024-5013
Phone Number
201-947-8168

License Information

License Number
22DI02330900
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · 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 Dr. Mina Kim, DDS?

The NPI number of Dr. Mina Kim, DDS is 1578754008. It was assigned on August 8, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Mina Kim, DDS?

Dr. Mina Kim, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02330900.

Where does Dr. Mina Kim, DDS practice?

The practice location is 328 Bridge Plz N Apt 1H, Fort Lee, NJ 07024-5013. The office can be reached at 201-947-8168 (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 1578754008 directly on the NPPES registry website.

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