Jin Koo Kim, DMD

General Practice Dentistry · Sudbury, MA

Individual Active NPI

NPI number 1306002480

Practice location

19 Demarco Rd
Sudbury, MA 01776-2019
Phone
(339) 221-3692

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NPI record

NPI
1306002480
Entity type
Individual (Type 1)
Enumeration date
July 29, 2008
Last updated
September 20, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 22255 MA

About Dr. Kim

Jin Koo Kim, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 19 Demarco Rd, Sudbury, MA 01776-2019. The NPI number 1306002480 was assigned on July 29, 2008 and the record was last updated on September 20, 2016.

Dr. Kim lists a license in the registry: #22255 (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 Jin Koo Kim, DMD?

The NPI number is 1306002480.

What is the phone number of Dr. Kim?

The phone number listed for the practice location is (339) 221-3692.

Where is Dr. Kim located?

19 Demarco Rd, Sudbury, MA 01776-2019.

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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