GYEONGWON KIM NPI 1669030391

NPI Information

  • NPI: 1669030391
  • Provider Name: GYEONGWON KIM
  • Classification: Dentist - 1223S0112X
  • Specialization: Oral and Maxillofacial Surgery
  • Entity Type: Individual
  • Address: 10 WARREN RD STE 330
    COCKEYSVILLE, MD
    ZIP 21030
  • Phone: (410) 666-5225

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NPI Details

Gyeongwon Kim is an oral and maxillofacial surgery dentist in Cockeysville, MD. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Gyeongwon Kim NPI is 1669030391. 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:

10 WARREN RD STE 330
COCKEYSVILLE, MD
ZIP 21030-535
Phone: (410) 666-5225

The enumeration date for this NPI number is 5/29/2019 and was last updated on 3/6/2024.

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
11223S0112XDentistOral and Maxillofacial Surgery17951MARYLANDYes

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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