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Dr. Ken Kwangdeok Kim, DMD
General Practice Dentistry in Plainview, New York
NPI 1730416900

Ken Kwangdeok Kim is a General Practice Dentistry based in Plainview, NY and is specialized in General Practice. Ken Kwangdeok Kim practices in Plainview, NY and has the professional credentials of DMD. The NPI Number for Ken Kwangdeok Kim is 1730416900 and holds a License No. 22DI02424400 (New York).

The current practice location address for Ken Kwangdeok Kim is 1163 Old Country Rd, Plainview, NY and can be reached out via phone at 516-932-7171 and via fax at 516-932-7707. You can also correspond with Ken Kwangdeok Kim through the mailing address at 1163 OLD COUNTRY RD, PLAINVIEW, NY - 11803-5029 (mailing address contact number: 516-932-7171).

Location: 1163 Old Country Rd, Plainview, NY, 11803-5029
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730416900
Provider Name
Ken Kwangdeok Kim
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
1163 Old Country Rd, Plainview, NY, 11803-5029
Phone Number
516-932-7171
Fax Number
516-932-7707
Provider Enumeration Date
11/09/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1163 Old Country Rd
City
Plainview
State
New York
Zip
11803-5029
Phone Number
516-932-7171
Fax Number
516-932-7707
person
Provider Business Mailing Address Details
Address
1163 Old Country Rd
City
Plainview
State
New York
Zip
11803-5029
Phone Number
516-932-7171
Fax Number
516-932-7707
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
22DI02424400 (New Jersey)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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