Bowon Kim

General Practice Dentistry · Cambridge, MA

Individual Active NPI

NPI number 1275022485

Practice location

126 Inman St
Cambridge, MA 02139-1206
Phone
(617) 492-8210

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NPI record

NPI
1275022485
Entity type
Individual (Type 1)
Enumeration date
May 2, 2018
Last updated
February 25, 2021
Certified
February 25, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DN1858585 MA
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

2 Leighton St Apt 340
Cambridge, MA 02141-3007
Phone
(347) 244-9498

About Bowon Kim

Bowon Kim is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 126 Inman St, Cambridge, MA 02139-1206. The NPI number 1275022485 was assigned on May 2, 2018 and the record was last updated on February 25, 2021.

Bowon Kim lists a license in the registry: #DN1858585 (MA) 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 Bowon Kim?

The NPI number is 1275022485.

What is the phone number of Bowon Kim?

The phone number listed for the practice location is (617) 492-8210.

Where is Bowon Kim located?

126 Inman St, Cambridge, MA 02139-1206.

What is the taxonomy code for Bowon Kim?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

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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