DR. YOUNG KYU KIM DMD NPI 1093284929

NPI Information

NPI: 1093284929
Provider Name: DR. YOUNG KYU KIM, DMD
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

PECOS Registration: Yes

Address:
4654 S COOPER ST STE 316
ARLINGTON, TX
ZIP 76017
Phone: (817) 984-9201
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DR. Young Kyu Kim, DMD is a general practice dentist in Arlington, TX. 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. Young Kyu Kim, DMD NPI is 1093284929. 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:

4654 S COOPER ST STE 316
ARLINGTON, TX
ZIP 76017-860
Phone: (817) 984-9201

The NPI 1093284929 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 11/20/2018 and was last updated on 7/24/2021.

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	1223G0001X	Dentist	General Practice	35577	TEXAS	Yes
2	1223G0001X	Dentist	General Practice	10208	KENTUCKY	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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