Sonny Sunghun Kim

Dentist · Reston, VA

Individual Active NPI

NPI number 1700214293

Practice location

11876 Sunrise Valley Drive
101
Reston, VA 20191
Phone
(703) 390-9191
Fax
(703) 390-8887

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NPI record

NPI
1700214293
Entity type
Individual (Type 1)
Enumeration date
October 22, 2013
Last updated
October 22, 2013
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 0401007832 VA
General Practice Dentistry 1223G0001X 0401007832 VA

About Sonny Kim

Sonny Sunghun Kim is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 11876 Sunrise Valley Drive, 101, Reston, VA 20191. The NPI number 1700214293 was assigned on October 22, 2013 and the record was last updated on October 22, 2013.

Sonny Kim lists 2 licenses in the registry: #0401007832 (VA) for Dentist; #0401007832 (VA) 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 Sonny Sunghun Kim?

The NPI number is 1700214293.

What is the phone number of Sonny Kim?

The phone number listed for the practice location is (703) 390-9191.

Where is Sonny Kim located?

11876 Sunrise Valley Drive, 101, Reston, VA 20191.

What is the taxonomy code for Sonny Kim?

The primary taxonomy code is 122300000X – Dentist; 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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