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DR. SANG YOON KIM DMD MD NPI 1992826333


NPI Information

NPI: 1992826333
Provider Name: DR. SANG YOON KIM, DMD, MD
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
361 MAPLE AVE W
SUITE 200
VIENNA, VA
ZIP 22180
Phone: (703) 255-9400
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DR. Sang Yoon Kim, DMD, MD is an oral maxillofacial surgery in Vienna, VA. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. DR. Sang Yoon Kim, DMD, MD NPI is 1992826333. 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:

361 MAPLE AVE W
SUITE 200
VIENNA, VA
ZIP 22180-304
Phone: (703) 255-9400
Fax: (703) 255-4958

The NPI 1992826333 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, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 4/3/2007 and was last updated on 6/14/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial Surgery0401413454VIRGINIANo
2204E00000XOral & Maxillofacial Surgery0101251217VIRGINIAYes

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: 4/28/2024

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