Kyuan Kim, D.D.S.

General Practice Dentistry · Mill Creek, WA

Individual Active NPI

NPI number 1639553795

Practice location

15224 Main St Ste 300
Mill Creek, WA 98012-7332
Phone
(425) 379-8020

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NPI record

NPI
1639553795
Entity type
Individual (Type 1)
Enumeration date
July 17, 2015
Last updated
November 18, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 60698462 WA
General Practice Dentistry 1223G0001X 12012380A IN

Mailing address

317 112TH Ave NE
Apt 801
Bellevue, WA 98004-5824
Phone
(217) 979-3943

About Dr. Kim

Kyuan Kim, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 15224 Main St Ste 300, Mill Creek, WA 98012-7332. The NPI number 1639553795 was assigned on July 17, 2015 and the record was last updated on November 18, 2016.

Dr. Kim lists 2 licenses in the registry: #60698462 (WA) for General Practice Dentistry; #12012380A (IN) 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 Kyuan Kim, D.D.S.?

The NPI number is 1639553795.

What is the phone number of Dr. Kim?

The phone number listed for the practice location is (425) 379-8020.

Where is Dr. Kim located?

15224 Main St Ste 300, Mill Creek, WA 98012-7332.

What is the taxonomy code for Dr. 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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