MICHELLE KIM NPI 1245644608

NPI Information

  • NPI: 1245644608
  • Provider Name: MICHELLE KIM
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 55 SACK BLVD
    LEOMINSTER, MA
    ZIP 01453
  • Phone: (978) 466-6800

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NPI Details

Michelle Kim is a general practice dentist in Leominster, MA. 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. Michelle Kim NPI is 1245644608. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

55 SACK BLVD
LEOMINSTER, MA
ZIP 01453-325
Phone: (978) 466-6800

The enumeration date for this NPI number is 6/13/2014 and was last updated on 4/1/2025.

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
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
21223G0001XDentistGeneral Practice0401415127VIRGINIAYes

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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