Active NPIIndividual provider

Samantha Kim

Dentist, General Practice in Methuen, Massachusetts

NPI Number1962189050
Practice location
40 Jackson St, Methuen, MA 01844
Fax
—
Last updated
September 11, 2024

Samantha Kim is a Dentist, General Practice based in Methuen, MA. Samantha Kim practices in Methuen, MA. The NPI Number for Samantha Kim is 1962189050 and holds a License No. DN10000398 (MA). The current practice location address for Samantha Kim is 40 Jackson St, Methuen, MA 01844 and can be reached out via phone at 978-874-3320.

Provider Profile Details

NPI Number
1962189050
Provider Name
Samantha Kim
Provider Entity Type
Individual
Gender
Female
Address
40 Jackson St, Methuen, MA 01844
Phone Number
978-874-3320
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
No
Provider Enumeration Date
June 29, 2023
Last Update Date
September 11, 2024
Certification Date
September 11, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
40 Jackson St
Methuen, MA 01844
Zip
01844
Phone Number
978-874-3320
Methuen, MA 01844Get directions →

Provider Business Mailing Address Details

Address
40 Jackson St
Methuen, MA 01844-5000
City
Methuen
State
MA
Zip
01844-5000
Phone Number
978-874-3320

License Information

License Number (2)
DN10000398
License State (2)
MA
Taxonomy (2)
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 Samantha Kim?

The NPI number of Samantha Kim is 1962189050. It was assigned on June 29, 2023 and is currently active in the NPPES registry.

What is the specialty of Samantha Kim?

Samantha Kim is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in MA under license number DN10000398.

Where does Samantha Kim practice?

The practice location is 40 Jackson St, Methuen, MA 01844. The office can be reached at 978-874-3320 (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 1962189050 directly on the NPPES registry website.

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