YUNG KYUN KIM DDS NPI 1831394352

NPI Information

NPI: 1831394352
Provider Name: YUNG KYUN KIM, DDS
Classification: Dentist - 1223P0300X
Entity Type: Individual

Specialization: Periodontics

PECOS Registration: Yes

Address:
UNIVERSITY OF CONNECTICUT HEALTH CTR
263 FARMINGTON AVENUE
FARMINGTON, CT
ZIP 06030
Phone: (860) 679-4070
Get Directions

Yung Kyun Kim, DDS is a periodontics dentist in Farmington, CT. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. Yung Kyun Kim, DDS NPI is 1831394352. 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:

UNIVERSITY OF CONNECTICUT HEALTH CTR
263 FARMINGTON AVENUE
FARMINGTON, CT
ZIP 06030-001
Phone: (860) 679-4070

The NPI 1831394352 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 6/15/2007 and was last updated on 1/24/2013.

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	122300000X	Dentist		053348-1	NEW YORK	No
2	1223P0300X	Dentist	Periodontics	010754	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	053348-1	OTHER	NEW YORK	LICENSE
2	010754	OTHER	CONNECTICUT	DENTAL LICENSE

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: 4/28/2024

NPI Synchronization or Removal

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