Conni Kim, DDS

Dentist · Joint Base Lewis-McChord, WA

Individual Active NPI

NPI number 1679146963

Practice location

2140 Liggett Ave.
Joint Base Lewis-McChord, WA 98433
Phone
(303) 905-7655

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NPI record

NPI
1679146963
Entity type
Individual (Type 1)
Enumeration date
July 23, 2021
Last updated
July 23, 2021
Certified
June 24, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 00204791 CO

Mailing address

940 S Dahlia St Unit B
Denver, CO 80246-2852
Phone
(303) 905-7655

About Dr. Kim

Conni Kim, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 2140 Liggett Ave., Joint Base Lewis-McChord, WA 98433. The NPI number 1679146963 was assigned on July 23, 2021 and the record was last updated on July 23, 2021.

Dr. Kim lists a license in the registry: #00204791 (CO) 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 Conni Kim, DDS?

The NPI number is 1679146963.

What is the phone number of Dr. Kim?

The phone number listed for the practice location is (303) 905-7655.

Where is Dr. Kim located?

2140 Liggett Ave., Joint Base Lewis-McChord, WA 98433.

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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