Dr. Dongwon Kim PC
Clinic/Center, Dental in Mattapan, Massachusetts
1740955723- Practice location
- 542 River St, Mattapan, MA 02126-3014
- Phone
- 617-322-9773
- Fax
- —
- Last updated
- August 12, 2021
Dr. Dongwon Kim PC is a healthcare organization based in Mattapan, MA. Dr. Dongwon Kim PC practices in Mattapan, MA. The NPI Number for Dr. Dongwon Kim PC is 1740955723. The current practice location address for Dr. Dongwon Kim PC is 542 River St, Mattapan, MA 02126-3014 and can be reached out via phone at 617-322-9773.
Provider Profile Details
- NPI Number
- 1740955723
- Provider Name
- Dr. Dongwon Kim PC
- Provider Entity Type
- Organization
- Address
- 542 River St, Mattapan, MA 02126-3014
- Phone Number
- 617-322-9773
- Primary Taxonomy
- Clinic/Center, Dental · 261QD0000X
- Organization Subpart
- No
- Authorized Official
- Dong Won Kim · DMD · 508-821-9041
- Provider Enumeration Date
- August 12, 2021
- Last Update Date
- August 12, 2021
- Certification Date
- August 12, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 542 River St
Mattapan, MA 02126-3014 - City
- Mattapan
- State
- Massachusetts
- Zip
- 02126-3014
- Phone Number
- 617-322-9773
Provider Business Mailing Address Details
- Address
- 542 River St
Mattapan, MA 02126-3014 - City
- Mattapan
- State
- MA
- Zip
- 02126-3014
- Phone Number
- 617-322-9773
License Information
- Taxonomy
- Clinic/Center, Dental · 261QD0000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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. Dongwon Kim PC?
The NPI number of Dr. Dongwon Kim PC is 1740955723. It was assigned on August 12, 2021 and is currently active in the NPPES registry.
What is the specialty of Dr. Dongwon Kim PC?
Dr. Dongwon Kim PC is registered under the primary taxonomy Clinic/Center, Dental (code 261QD0000X).
Where does Dr. Dongwon Kim PC practice?
The practice location is 542 River St, Mattapan, MA 02126-3014. The office can be reached at 617-322-9773 (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 1740955723 directly on the NPPES registry website.