John Y. Kim

Dentist · Phila, PA

Individual Active NPI

NPI number 1720218910

Practice location

1936 Cottman Ave
Phila, PA 19111-3800
Phone
(215) 728-0777

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NPI record

NPI
1720218910
Entity type
Individual (Type 1)
Enumeration date
July 22, 2009
Last updated
July 22, 2009
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X DS024115L PA

Mailing address

921 Fanshawe St
Phila, PA 19111-4801
Phone
(215) 779-6957
Fax
(215) 695-0622

About John Kim

John Y. Kim is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1936 Cottman Ave, Phila, PA 19111-3800. The NPI number 1720218910 was assigned on July 22, 2009 and the record was last updated on July 22, 2009.

John Kim lists a license in the registry: #DS024115L (PA) 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 John Y. Kim?

The NPI number is 1720218910.

What is the phone number of John Kim?

The phone number listed for the practice location is (215) 728-0777.

Where is John Kim located?

1936 Cottman Ave, Phila, PA 19111-3800.

What is the taxonomy code for John 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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