Active NPIIndividual providerSole proprietor

Johnny J Kim, DDS

Dentist, Endodontics in Garden City, New York

NPI Number1932720513
Practice location
1103 Stewart Ave Ste 104, Garden City, NY 11530-4886
Fax
—
Last updated
March 11, 2024

Johnny Junhong Kim is a Dentist, Endodontics based in Garden City, NY. Johnny Junhong Kim practices in Garden City, NY and has the professional credentials of DDS. The NPI Number for Johnny Junhong Kim is 1932720513 and holds a License No. 062163 (NY). The current practice location address for Johnny Junhong Kim is 1103 Stewart Ave Ste 104, Garden City, NY 11530-4886 and can be reached out via phone at 516-222-1822.

Provider Profile Details

NPI Number
1932720513
Provider Name
Johnny Junhong Kim
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1103 Stewart Ave Ste 104, Garden City, NY 11530-4886
Phone Number
516-222-1822
Primary Taxonomy
Dentist, Endodontics · 1223E0200X
Sole Proprietor
Yes
Provider Enumeration Date
May 5, 2020
Last Update Date
March 11, 2024
Certification Date
March 11, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1103 Stewart Ave Ste 104
Garden City, NY 11530-4886
Zip
11530-4886
Phone Number
516-222-1822
Garden City, NY 11530Get directions →

Provider Business Mailing Address Details

Address
555 10TH St Unit 304
Palisades Park, NJ 07650-3152
City
Palisades Park
State
NJ
Zip
07650-3152
Phone Number
703-231-1882

License Information

License Number
062163
License State
NY
Taxonomy
Dentist, Endodontics · 1223E0200X · 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 Johnny J Kim, DDS?

The NPI number of Johnny J Kim, DDS is 1932720513. It was assigned on May 5, 2020 and is currently active in the NPPES registry.

What is the specialty of Johnny J Kim, DDS?

Johnny J Kim, DDS is registered under the primary taxonomy Dentist, Endodontics (code 1223E0200X), licensed in NY under license number 062163.

Where does Johnny J Kim, DDS practice?

The practice location is 1103 Stewart Ave Ste 104, Garden City, NY 11530-4886. The office can be reached at 516-222-1822 (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 1932720513 directly on the NPPES registry website.

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