ISAAC KIM DDS NPI 1124819057

NPI Information

  • NPI: 1124819057
  • Provider Name: ISAAC KIM DDS
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Organization
  • Address: 131 MAIN ST
    WALTHAM, MA
    ZIP 02453
  • Phone: (781) 893-7500

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NPI Details

ISAAC KIM DDS is a periodontics dentist in Waltham, MA. 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. ISAAC KIM DDS NPI is 1124819057. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

131 MAIN ST
WALTHAM, MA
ZIP 02453-636
Phone: (781) 893-7500

The provider's authorized official is Isaac Kim .
The authorized official title is Periodontist and has the following contact phone number (617) 583-0015.

The enumeration date for this NPI number is 5/12/2025 and was last updated on 5/12/2025.

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
11223P0300XDentistPeriodonticsYes

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: 11/21/2025

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