Tae Yon Kim, D.D.S.

Dentist · Commack, NY

Individual Active NPI

NPI number 1619293958

Practice location

6080 Jericho Tpke
Suite 207
Commack, NY 11725-2850
Phone
(631) 499-1212
Fax
(631) 499-2389

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NPI record

NPI
1619293958
Entity type
Individual (Type 1)
Enumeration date
April 12, 2010
Last updated
September 22, 2010
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 048503 NY

About Dr. Kim

Tae Yon Kim, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 6080 Jericho Tpke, Suite 207, Commack, NY 11725-2850. The NPI number 1619293958 was assigned on April 12, 2010 and the record was last updated on September 22, 2010.

Dr. Kim lists a license in the registry: #048503 (NY) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

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

The NPI number is 1619293958.

What is the phone number of Dr. Kim?

The phone number listed for the practice location is (631) 499-1212.

Where is Dr. Kim located?

6080 Jericho Tpke, Suite 207, Commack, NY 11725-2850.

What is the taxonomy code for Dr. Kim?

The primary taxonomy code is 122300000X – Dentist.

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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