Active NPIIndividual providerSole proprietor

Dr. Soo Jin Kim, DDS

Dentist, General Practice in Carlstadt, New Jersey

NPI Number1649427865
Practice location
326 Garden St Ste 6, Carlstadt, NJ 07072
Fax
—
Last updated
September 5, 2019

Soo Jin Kim is a Dentist, General Practice based in Carlstadt, NJ. Soo Jin Kim practices in Carlstadt, NJ and has the professional credentials of DDS. The NPI Number for Soo Jin Kim is 1649427865 and holds a License No. 22DI02555900 (NJ). The current practice location address for Soo Jin Kim is 326 Garden St Ste 6, Carlstadt, NJ 07072 and can be reached out via phone at 201-729-0900.

Provider Profile Details

NPI Number
1649427865
Provider Name
Soo Jin Kim
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
326 Garden St Ste 6, Carlstadt, NJ 07072
Phone Number
201-729-0900
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
August 19, 2008
Last Update Date
September 5, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
326 Garden St Ste 6
Carlstadt, NJ 07072
Zip
07072
Phone Number
201-729-0900
Carlstadt, NJ 07072Get directions →

Provider Business Mailing Address Details

Address
326 Garden St Ste 6
Carlstadt, NJ 07072-1626
City
Carlstadt
State
NJ
Zip
07072-1626
Phone Number
201-729-0900

License Information

License Number (1)
22DI02555900
License State (1)
NJ
Taxonomy (1)
Dentist, General Practice · 1223G0001X · Primary
License Number (2)
053948
License State (2)
NY
Taxonomy (2)
Dentist · 122300000X

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. Soo Jin Kim, DDS?

The NPI number of Dr. Soo Jin Kim, DDS is 1649427865. It was assigned on August 19, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Soo Jin Kim, DDS?

Dr. Soo Jin Kim, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02555900.

Where does Dr. Soo Jin Kim, DDS practice?

The practice location is 326 Garden St Ste 6, Carlstadt, NJ 07072. The office can be reached at 201-729-0900 (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 1649427865 directly on the NPPES registry website.

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