Active NPIIndividual provider

Kieun Kim, DDS

Dentist in Northborough, Massachusetts

NPI Number1750955290
Practice location
1 E Main St, Northborough, MA 01532-1662
Fax
—
Last updated
August 12, 2021

Kieun Kim is a Dentist based in Northborough, MA. Kieun Kim practices in Northborough, MA and has the professional credentials of DDS. The NPI Number for Kieun Kim is 1750955290 and holds a License No. DN1859073 (MA). The current practice location address for Kieun Kim is 1 E Main St, Northborough, MA 01532-1662 and can be reached out via phone at 508-206-9676.

Provider Profile Details

NPI Number
1750955290
Provider Name
Kieun Kim
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
1 E Main St, Northborough, MA 01532-1662
Phone Number
508-206-9676
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
May 19, 2021
Last Update Date
August 12, 2021
Certification Date
August 12, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 E Main St
Northborough, MA 01532-1662
Zip
01532-1662
Phone Number
508-206-9676
Northborough, MA 01532Get directions →

Provider Business Mailing Address Details

Address
1510 Stadium Way Apt 275
Indianapolis, IN 46202-2103
City
Indianapolis
State
IN
Zip
46202-2103
Phone Number
720-757-1727

License Information

License Number
DN1859073
License State
MA
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Dentists near Northborough, MA

View all Dentists in Northborough →

Frequently Asked Questions

What is the NPI number of Kieun Kim, DDS?

The NPI number of Kieun Kim, DDS is 1750955290. It was assigned on May 19, 2021 and is currently active in the NPPES registry.

What is the specialty of Kieun Kim, DDS?

Kieun Kim, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number DN1859073.

Where does Kieun Kim, DDS practice?

The practice location is 1 E Main St, Northborough, MA 01532-1662. The office can be reached at 508-206-9676 (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 1750955290 directly on the NPPES registry website.

Browse related providers