Active NPIIndividual providerSole proprietor

Dr. Dongwook Kim, DDS

Dentist, General Practice in Leonia, New Jersey

NPI Number1760586192
Practice location
384 Broad Ave, Leonia, NJ 07605-1701
Fax
201-363-9897
Last updated
April 21, 2020

Dongwook Kim is a Dentist, General Practice based in Leonia, NJ. Dongwook Kim practices in Leonia, NJ and has the professional credentials of DDS. The NPI Number for Dongwook Kim is 1760586192 and holds a License No. di20263 (NJ). The current practice location address for Dongwook Kim is 384 Broad Ave, Leonia, NJ 07605-1701 and can be reached out via phone at 201-363-9890 and via fax at 201-363-9897.

Provider Profile Details

NPI Number
1760586192
Provider Name
Dongwook Kim
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
384 Broad Ave, Leonia, NJ 07605-1701
Phone Number
201-363-9890
Fax Number
201-363-9897
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Other Names
Dr. Steve Kim, DDS (Professional Name)
Provider Enumeration Date
September 7, 2006
Last Update Date
April 21, 2020
Certification Date
April 21, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
384 Broad Ave
Leonia, NJ 07605-1701
City
Leonia
Zip
07605-1701
Phone Number
201-363-9890
Fax Number
201-363-9897
Leonia, NJ 07605Get directions →

Provider Business Mailing Address Details

Address
341 Broad Ave
Leonia, NJ 07605-1701
City
Leonia
State
NJ
Zip
07605-1701
Phone Number
201-363-9890
Fax Number
201-363-9897

License Information

License Number
di20263
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · 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. Dongwook Kim, DDS?

The NPI number of Dr. Dongwook Kim, DDS is 1760586192. It was assigned on September 7, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Dongwook Kim, DDS?

Dr. Dongwook Kim, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number di20263.

Where does Dr. Dongwook Kim, DDS practice?

The practice location is 384 Broad Ave, Leonia, NJ 07605-1701. The office can be reached at 201-363-9890 (phone) or 201-363-9897 (fax).

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 1760586192 directly on the NPPES registry website.

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