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HJ KIM DDS PA NPI 1467783092


NPI Information

NPI: 1467783092
Provider Name: HJ KIM DDS, PA

Doing Business As: SMART DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
9501 OLD ANNAPOLIS RD
STE. 200 A
ELLICOTT CITY, MD
ZIP 21042
Phone: (410) 740-1484
Get Directions

HJ KIM DDS, PA is a general practice dentist in Ellicott City, MD. 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. HJ KIM DDS, PA NPI is 1467783092. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Smart Dental.

The provider's business location address is:

9501 OLD ANNAPOLIS RD
STE. 200 A
ELLICOTT CITY, MD
ZIP 21042-314
Phone: (410) 740-1484
Fax: (410) 740-1486

The provider's authorized official is Heejung Kim .
The authorized official title is Owner and has the following contact phone number (410) 740-1484.

The enumeration date for this NPI number is 1/21/2010 and was last updated on 1/21/2010.


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
1122300000XDentist13733MARYLANDNo
21223D0001XDentistDental Public Health13733MARYLANDNo
31223X0400XDentistOrthodontics and Dentofacial Orthopedics13733MARYLANDNo
4126800000XDental AssistantNo
51223G0001XDentistGeneral Practice13733MARYLANDYes

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
1028082800MEDICAIDMARYLAND

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: 5/5/2024

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