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DOOHAK KIM
NPI 1104354331
Dentist in South Lyon, MI

Active since June 01, 2017
205 COLUMBIA DR, SOUTH LYON, MI 48178(248) 917-2475 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Jun 1, 2017 (2 updates tracked since 2017).

About Doohak Kim NPPES

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

DOOHAK KIM (NPI 1104354331) is an individual dentist in South Lyon, Michigan, licensed in Michigan (2901022274) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1104354331
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDOOHAK KIM
Location Address205 COLUMBIA DRSouth Lyon, MI 48178-1886
Mailing Address205 Columbia DrSouth Lyon, MI 48178-1886 · (248) 917-2475
Phone(248) 917-2475
Sole ProprietorNo
Enumeration DateJune 1, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1104354331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in MI · 2901022274
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.
205 COLUMBIA DR, South Lyon, MI 48178
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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 Doohak Kim's NPI number?

The NPI number for Doohak Kim is 1104354331. It was assigned to this individual provider in the NPPES registry on June 1, 2017.

Where is Doohak Kim located?

Doohak Kim practices at 205 Columbia Dr, South Lyon, MI 48178. The listed phone number is (248) 917-2475.

What is Doohak Kim's specialty?

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

When was this NPI record last updated?

The NPPES record for Doohak Kim was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.