SPENCER KIM NPI 1184155400

NPI Information

NPI: 1184155400
Provider Name: SPENCER KIM
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
642 ULUKAHIKI ST STE 308
KAILUA, HI
ZIP 96734
Phone: (808) 261-5354
Get Directions

Spencer Kim is a pediatric dentistry dentist in Kailua, HI. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. Spencer Kim NPI is 1184155400. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

642 ULUKAHIKI ST STE 308
KAILUA, HI
ZIP 96734-439
Phone: (808) 261-5354

The enumeration date for this NPI number is 3/27/2017 and was last updated on 7/9/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0221X	Dentist	Pediatric Dentistry	DT-2748	HAWAII	Yes
2	390200000X	Student in an Organized Health Care Education/Training Program				No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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