Carol Kim, D.D.S.

Prosthodontics · Springfield, MO

Individual Active NPI

NPI number 1487958112

Practice location

3842 S Glenstone Ave
Springfield, MO 65804-4418
Phone
(417) 420-9024

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NPI record

NPI
1487958112
Entity type
Individual (Type 1)
Enumeration date
January 11, 2011
Last updated
May 28, 2020
Certified
May 28, 2020
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Prosthodontics Primary 1223P0700X 2019024070 MO

Mailing address

PO Box 66
Nixa, MO 65714-0066
Phone
(951) 444-8007

About Dr. Kim

Carol Kim, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Prosthodontics (code 1223P0700X). The practice location is 3842 S Glenstone Ave, Springfield, MO 65804-4418. The NPI number 1487958112 was assigned on January 11, 2011 and the record was last updated on May 28, 2020.

Dr. Kim lists a license in the registry: #2019024070 (MO) for Prosthodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Carol Kim, D.D.S.?

The NPI number is 1487958112.

What is the phone number of Dr. Kim?

The phone number listed for the practice location is (417) 420-9024.

Where is Dr. Kim located?

3842 S Glenstone Ave, Springfield, MO 65804-4418.

What is the taxonomy code for Dr. Kim?

The primary taxonomy code is 1223P0700X – Prosthodontics.

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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