DR. JONG WOOK KIM DDS NPI 1720245772

NPI Information

NPI: 1720245772
Provider Name: DR. JONG WOOK KIM, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
3636 PRINCE ST STE 304
FLUSHING, NY
ZIP 11354
Phone: (718) 358-3636
Get Directions

DR. Jong Wook Kim, DDS is a general practice dentist in Flushing, NY. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Jong Wook Kim, DDS NPI is 1720245772. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3636 PRINCE ST STE 304
FLUSHING, NY
ZIP 11354
Phone: (718) 358-3636
Fax: (718) 353-3600

The enumeration date for this NPI number is 5/19/2008 and was last updated on 8/6/2018.

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	1223G0001X	Dentist	General Practice	043564-1	NEW YORK	Yes

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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