Active NPIIndividual provider

Daewoong Kim, DDS

Dentist in Brooklyn, New York

NPI Number1801543293
Practice location
1 Brookdale Plz # 154, Brooklyn, NY 11212-3198
Fax
—
Last updated
June 7, 2025

Daewoong Kim is a Dentist based in Brooklyn, NY. Daewoong Kim practices in Brooklyn, NY and has the professional credentials of DDS. The NPI Number for Daewoong Kim is 1801543293 and holds a License No. 12389 (CT). The current practice location address for Daewoong Kim is 1 Brookdale Plz # 154, Brooklyn, NY 11212-3198 and can be reached out via phone at 718-240-5000.

Provider Profile Details

NPI Number
1801543293
Provider Name
Daewoong Kim
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1 Brookdale Plz # 154, Brooklyn, NY 11212-3198
Phone Number
718-240-5000
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
March 4, 2022
Last Update Date
June 7, 2025
Certification Date
June 7, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Brookdale Plz # 154
Brooklyn, NY 11212-3198
Zip
11212-3198
Phone Number
718-240-5000
Brooklyn, NY 11212Get directions →

Provider Business Mailing Address Details

Address
427 Eonjuro
Apt 1606
Seoul, NOT APPLICABLE 06221
City
Seoul
State
NOT APPLICABLE
Zip
06221

License Information

License Number (1)
12389
License State (1)
CT
Taxonomy (1)
Dentist, General Practice · 1223G0001X
License Number (2)
063736
License State (2)
NY
Taxonomy (2)
Dentist · 122300000X · 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 Daewoong Kim, DDS?

The NPI number of Daewoong Kim, DDS is 1801543293. It was assigned on March 4, 2022 and is currently active in the NPPES registry.

What is the specialty of Daewoong Kim, DDS?

Daewoong Kim, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in CT under license number 12389.

Where does Daewoong Kim, DDS practice?

The practice location is 1 Brookdale Plz # 154, Brooklyn, NY 11212-3198. The office can be reached at 718-240-5000 (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 1801543293 directly on the NPPES registry website.

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