ALISA KIM D.M.D.
NPI 1053540526
Dentist in Brockport, NY

Q: What is Alisa Kim's NPI number?

The NPI number for Alisa Kim is 1053540526. It was assigned to this individual provider in the NPPES registry on July 6, 2009.

Q: What is Alisa Kim's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Alisa Kim was last updated on December 14, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 06, 2009

300 WEST AVE, BROCKPORT, NY 14420(585) 637-3905(585) 637-4990 Get Directions Write a Review

NPPES record last updated: December 14, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Alisa Kim D.m.d. NPPES

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

ALISA KIM D.M.D. (NPI 1053540526) is an individual dentist in Brockport, New York, licensed in New York (P71309) and active in the NPI registry since July 2009.

NPPES Registry Identity

NPI1053540526

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameALISA KIMCredential: D.M.D.

Location Address300 WEST AVEBrockport, NY 14420-1118

Mailing Address300 West AveBrockport, NY 14420-1118 · (585) 637-3905 · Fax (585) 637-4990

Phone(585) 637-3905

Fax(585) 637-4990

Sole ProprietorYes

Enumeration DateJuly 6, 2009

Last NPPES UpdateDecember 14, 2012

✔ NPI 1053540526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NY · P71309

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

300 WEST AVE, Brockport, NY 14420

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Accepted Insurance

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

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