Peter Geuntae Kim, DDS

General Practice Dentistry · Bayside, NY

Individual Active NPI

NPI number 1811916877

Practice location

4719 Bell Blvd
Bayside, NY 11361-3333
Phone
(718) 224-5576
Fax
(718) 224-5587

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NPI record

NPI
1811916877
Entity type
Individual (Type 1)
Enumeration date
July 19, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 047152 NY

Mailing address

17 Kathleen Dr
Syosset, NY 11791-5808
Phone
(516) 993-9691
Fax
(718) 224-5587

About Dr. Kim

Peter Geuntae Kim, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 4719 Bell Blvd, Bayside, NY 11361-3333. The NPI number 1811916877 was assigned on July 19, 2006 and the record was last updated on July 8, 2007.

Dr. Kim lists a license in the registry: #047152 (NY) 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 Peter Geuntae Kim, DDS?

The NPI number is 1811916877.

What is the phone number of Dr. Kim?

The phone number listed for the practice location is (718) 224-5576.

Where is Dr. Kim located?

4719 Bell Blvd, Bayside, NY 11361-3333.

What is the taxonomy code for Dr. Kim?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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