Jonathan Juyun Kim, DDS

General Practice Dentistry · Beaverton, OR

Individual Active NPI

NPI number 1013568294

Practice location

4925 SW Griffith Dr
Beaverton, OR 97005-2923
Phone
(855) 433-6825

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NPI record

NPI
1013568294
Entity type
Individual (Type 1)
Enumeration date
September 27, 2019
Last updated
July 6, 2020
Certified
July 6, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X D11080 OR

Mailing address

6950 NE Campus Way
Hillsboro, OR 97124-5611
Phone
(855) 433-6285

About Dr. Kim

Jonathan Juyun Kim, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 4925 SW Griffith Dr, Beaverton, OR 97005-2923. The NPI number 1013568294 was assigned on September 27, 2019 and the record was last updated on July 6, 2020.

Dr. Kim lists a license in the registry: #D11080 (OR) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jonathan Juyun Kim, DDS?

The NPI number is 1013568294.

What is the phone number of Dr. Kim?

The phone number listed for the practice location is (855) 433-6825.

Where is Dr. Kim located?

4925 SW Griffith Dr, Beaverton, OR 97005-2923.

What is the taxonomy code for Dr. Kim?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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