HAN S. KIM DMD NPI 1861946683

NPI Information

  • NPI: 1861946683
  • Provider Name: HAN S. KIM, DMD
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2480 LLEWELLYN AVE
    FORT MEADE, MD
    ZIP 20755
  • Phone: (310) 993-1836

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NPI Details

Han S. Kim, DMD is a periodontics dentist in Fort Meade, MD. 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. Han S. Kim, DMD NPI is 1861946683. 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:

2480 LLEWELLYN AVE
FORT MEADE, MD
ZIP 20755-081
Phone: (310) 993-1836

The NPI 1861946683 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/10/2016 and was last updated on 8/19/2025.

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
1122300000XDentist65331CALIFORNIANo
21223P0300XDentistPeriodontics65331CALIFORNIAYes

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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