Active NPIIndividual provider

Dr. Johanne Y Kim, DDS

Dentist, Pediatric Dentistry in Natick, Massachusetts

NPI Number1720001886
Practice location
230 Pond St, Natick, MA 01760-4323
Fax
—
Last updated
July 8, 2007

Johanne Y Kim is a Dentist, Pediatric Dentistry based in Natick, MA. Johanne Y Kim practices in Natick, MA and has the professional credentials of DDS. The NPI Number for Johanne Y Kim is 1720001886 and holds a License No. 19972 (MA). The current practice location address for Johanne Y Kim is 230 Pond St, Natick, MA 01760-4323 and can be reached out via phone at 508-653-2417.

Provider Profile Details

NPI Number
1720001886
Provider Name
Johanne Y Kim
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
230 Pond St, Natick, MA 01760-4323
Phone Number
508-653-2417
Primary Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X
Sole Proprietor
No
Provider Enumeration Date
July 26, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
230 Pond St
Natick, MA 01760-4323
City
Natick
Zip
01760-4323
Phone Number
508-653-2417
Natick, MA 01760Get directions →

Provider Business Mailing Address Details

Address
470 Commonwealth RD
Wayland, MA 01778-3816
City
Wayland
State
MA
Zip
01778-3816
Phone Number
508-651-8858

License Information

License Number
19972
License State
MA
Taxonomy
Dentist, Pediatric Dentistry · 1223P0221X · 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. Johanne Y Kim, DDS?

The NPI number of Dr. Johanne Y Kim, DDS is 1720001886. It was assigned on July 26, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Johanne Y Kim, DDS?

Dr. Johanne Y Kim, DDS is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in MA under license number 19972.

Where does Dr. Johanne Y Kim, DDS practice?

The practice location is 230 Pond St, Natick, MA 01760-4323. The office can be reached at 508-653-2417 (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 1720001886 directly on the NPPES registry website.

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