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SCOTT SEUNG YOUNG KIM DMD, MD
NPI 1043656655
Oral & Maxillofacial Surgery in Laurel, MD

Active since May 22, 2013PECOS Enrolled
14333 LAUREL BOWIE RD STE 205, LAUREL, MD 20708(301) 953-1888 Get Directions Write a Review

NPPES record last updated: May 27, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 27, 2021, Jul 29, 2019 (2 updates tracked since 2019).

About Scott Seung Young Kim Dmd, Md NPPES

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

SCOTT SEUNG YOUNG KIM DMD, MD (NPI 1043656655) is an individual oral & maxillofacial surgery provider in Laurel, Maryland, licensed in Maryland (16712) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1043656655
Entity TypeIndividualMale
Primary Taxonomy204E00000X
Provider Legal NameSCOTT SEUNG YOUNG KIMCredential: DMD, MD
Location Address14333 LAUREL BOWIE RD STE 205Laurel, MD 20708-1179
Mailing Address6201 Greenbelt Rd Ste M1College Park, MD 20740-2358
Phone(301) 953-1888
Sole ProprietorNo
Enumeration DateMay 22, 2013
Last NPPES UpdateMay 27, 20212 updates tracked since enumeration
NPPES CertifiedMay 16, 2021
✔ NPI 1043656655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOral & Maxillofacial SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code204E00000X
License✔ Licensed in MD · 16712
Definition
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
14333 LAUREL BOWIE RD STE 205, Laurel, MD 20708
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Secondary Practice Locations 2

Location 1263 Farmington AveFarmington, CT 06032-1956 · Phone (860) 679-2839
Location 26201 Greenbelt Rd Ste M1College Park, MD 20740-2358 · Phone (301) 345-7007

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Scott Seung Young Kim Dmd, Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Scott Kim's NPI number?

The NPI number for Scott Kim is 1043656655. It was assigned to this individual provider in the NPPES registry on May 22, 2013.

Where is Scott Kim located?

Scott Kim practices at 14333 Laurel Bowie Rd Ste 205, Laurel, MD 20708. The listed phone number is (301) 953-1888.

What is Scott Kim's specialty?

The primary specialty registered for this NPI is Oral & Maxillofacial Surgery with taxonomy code 204E00000X.

Is Scott Kim enrolled in Medicare?

Yes. Scott Kim is registered in the Medicare PECOS enrollment system.

What insurance does Scott Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Scott Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Scott Kim was last updated on May 27, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.