Kyeong-Bin Im, DDS

General Practice Dentistry · Fairfield, CT

Individual Active NPI

NPI number 1063552974

Practice location

400 Stillson Rd
Fairfield, CT 06824-3103
Phone
(203) 333-6171
Fax
(203) 333-8641

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NPI record

NPI
1063552974
Entity type
Individual (Type 1)
Enumeration date
February 8, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 8649 CT

About Dr. Im

Kyeong-Bin Im, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 400 Stillson Rd, Fairfield, CT 06824-3103. The NPI number 1063552974 was assigned on February 8, 2007 and the record was last updated on July 8, 2007.

Dr. Im lists a license in the registry: #8649 (CT) 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 Kyeong-Bin Im, DDS?

The NPI number is 1063552974.

What is the phone number of Dr. Im?

The phone number listed for the practice location is (203) 333-6171.

Where is Dr. Im located?

400 Stillson Rd, Fairfield, CT 06824-3103.

What is the taxonomy code for Dr. Im?

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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