JI WON KIM - NPI 1164004206 - Dentist in Springfield, MA

Q: What is Ji Won Kim's NPI number?

The NPI number for Ji Won Kim is 1164004206. It was assigned to this individual provider in the NPPES registry on April 27, 2021.

Q: What is Ji Won 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 Ji Won Kim was last updated on July 21, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Ji Won Kim NPPES

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

JI WON KIM (NPI 1164004206) is an individual dentist in Springfield, Massachusetts, licensed in Massachusetts (DN1859098) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1164004206

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameJI WON KIM

Location Address555 STATE STSpringfield, MA 01109-4140

Mailing Address350 N Clark St Ste 600Chicago, IL 60654-4782 · (312) 274-4580

Phone(312) 768-0965

Sole ProprietorYes

Enumeration DateApril 27, 2021

Last NPPES UpdateJuly 21, 20212 updates tracked since enumeration

NPPES CertifiedJune 2, 2021

✔ NPI 1164004206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MA · DN1859098

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

555 STATE ST, Springfield, MA 01109

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Accepted Insurance

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

Other Providers at the Same Location NPPES 18

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

ABIDA HASNAIN D.D.S

Dentist (General Practice)