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BONGOK KIM
NPI 1003193152
Dentist - Prosthodontics in Lincoln, NE

Active since November 03, 2011
3885 HOLDREGE ST., LINCOLN, NE 68583(402) 472-8900 Get Directions Write a Review

NPPES record last updated: November 3, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bongok Kim NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BONGOK KIM (NPI 1003193152) is an individual prosthodontics provider in Lincoln, Nebraska, licensed in Nebraska (6993) and active in the NPI registry since November 2011.

NPPES Registry Identity

NPI1003193152
Entity TypeIndividualFemale
Primary Taxonomy1223P0700X
Provider Legal NameBONGOK KIM
Location Address3885 HOLDREGE ST.Lincoln, NE 68583-0740
Mailing AddressPobox 830740Lincoln, NE 68583-0740
Phone(402) 472-8900
Sole ProprietorNo
Enumeration DateNovember 3, 2011
✔ NPI 1003193152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License✔ Licensed in NE · 6993
Definition
That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
3885 HOLDREGE ST., Lincoln, NE 68583
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bongok Kim's NPI number?

The NPI number for Bongok Kim is 1003193152. It was assigned to this individual provider in the NPPES registry on November 3, 2011.

Where is Bongok Kim located?

Bongok Kim practices at 3885 Holdrege St., Lincoln, NE 68583. The listed phone number is (402) 472-8900.

What is Bongok Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

The NPPES record for Bongok Kim was last updated on November 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.