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JOHN M KIM DMD
NPI 1144537333
Dentist - Oral and Maxillofacial Surgery in Saint Joseph, MI

Active since September 09, 2010
3102 NILES RD, SAINT JOSEPH, MI 49085(269) 429-7122(269) 429-6410 Get Directions Write a Review

NPPES record last updated: July 23, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John M Kim Dmd NPPES

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

JOHN M KIM DMD (NPI 1144537333) is a healthcare organization registered as an oral and maxillofacial surgery in Saint Joseph, Michigan and active in the NPI registry since September 2010. The organization lists Cindy Mitowski, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1144537333
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameJOHN M KIM DMD PC
Location Address3102 NILES RDSaint Joseph, MI 49085-8609
Mailing Address3102 Niles RdSaint Joseph, MI 49085-8609 · (269) 429-7122 · Fax (269) 429-6410
Phone(269) 429-7122
Fax(269) 429-6410
Organization SubpartNo
Authorized OfficialCindy MitowskiOffice Manager · (269) 429-7122
Enumeration DateSeptember 9, 2010
Last NPPES UpdateJuly 23, 2015
✔ NPI 1144537333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in MI · 014347
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
3102 NILES RD, Saint Joseph, MI 49085
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Other Names 1

Other NameJohn M Kim Dmd

Other Identifiers 3

Medicare UPINU05429MI
Medicare PIN5116012MI
Medicaid2983370MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOHN MARION KIM D.M.D.
Dentist (Oral and Maxillofacial Surgery)
3102 NILES RD
SAINT JOSEPH, MI 49085
Berrien County (269) 429-7122

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 John M Kim Dmd PC's NPI number?

The NPI number for John M Kim Dmd PC is 1144537333. It was assigned to this organization in the NPPES registry on September 9, 2010. The provider is also known as John M Kim Dmd.

Where is John M Kim Dmd PC located?

John M Kim Dmd PC is located at 3102 Niles Rd, Saint Joseph, MI 49085. The listed phone number is (269) 429-7122.

What is John M Kim Dmd PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for John M Kim Dmd PC was last updated on July 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.