JI S KIM DDS PLLC NPI 1205110293

NPI Information

  • NPI: 1205110293
  • Provider Name: JI S KIM DDS PLLC
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Address: 26750 GRAND RIVER AVE
    REDFORD, MI
    ZIP 48240
  • Phone: (313) 531-2000

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NPI Details

JI S KIM DDS PLLC is a general practice dentist in Redford, MI. 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. JI S KIM DDS PLLC NPI is 1205110293. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

26750 GRAND RIVER AVE
REDFORD, MI
ZIP 48240-529
Phone: (313) 531-2000
Fax: (313) 531-1063

The provider's authorized official is Ji Kim .
The authorized official title is Owner/dentist and has the following contact phone number (313) 531-2000.

The enumeration date for this NPI number is 10/7/2011 and was last updated on 10/7/2011.

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
11223G0001XDentistGeneral Practice2901019035MICHIGANYes

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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