1. Home
  2. Directory
  3. Virginia
  4. South Boston
  5. Dentist
  6. NPI Profile

KWANG W KIM, DDS, PLLC
NPI 1255061909
Dentist - General Practice in South Boston, VA

Active since June 15, 2022
410 MINERAL ST, SOUTH BOSTON, VA 24592(434) 572-4928(434) 575-0302 Get Directions Write a Review

NPPES record last updated: June 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kwang W Kim, Dds, Pllc NPPES

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

KWANG W KIM, DDS, PLLC (NPI 1255061909) is a healthcare organization registered as a general practice in South Boston, Virginia and active in the NPI registry since June 2022. The organization lists Kwang Kim, Dentist, as its authorized official.

NPPES Registry Identity

NPI1255061909
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameKWANG W KIM, DDS, PLLC
Location Address410 MINERAL STSouth Boston, VA 24592-3716
Mailing Address410 Mineral StSouth Boston, VA 24592-3716 · (434) 572-4928 · Fax (434) 575-0302
Phone(434) 572-4928
Fax(434) 575-0302
Organization SubpartNo
Authorized OfficialKwang KimDentist · (434) 572-4928
Enumeration DateJune 15, 2022
NPPES CertifiedJune 15, 2022
✔ NPI 1255061909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
410 MINERAL ST, South Boston, VA 24592
Open in Google Maps ↗

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 4

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

DR. RAYMOND ALLAN GREEN DDS
Dentist (General Practice)
410 MINERAL ST
SOUTH BOSTON, VA 24592
Halifax County (434) 572-4928
MINKYEONG SON DDS
Dentist (General Practice)
410 MINERAL ST
SOUTH BOSTON, VA 24592
Halifax County (434) 572-4928
JOSHUA IRBY DDS
Dentist
410 MINERAL ST
SOUTH BOSTON, VA 24592
Halifax County (434) 572-4928
DR. KWANG W KIM DDS
Dentist (General Practice)
410 MINERAL ST
SOUTH BOSTON, VA 24592
Halifax County (434) 572-4928

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 Kwang W Kim, Dds, PLLC's NPI number?

The NPI number for Kwang W Kim, Dds, PLLC is 1255061909. It was assigned to this organization in the NPPES registry on June 15, 2022.

Where is Kwang W Kim, Dds, PLLC located?

Kwang W Kim, Dds, PLLC is located at 410 Mineral St, South Boston, VA 24592. The listed phone number is (434) 572-4928.

What is Kwang W Kim, Dds, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Kwang W Kim, Dds, PLLC was last updated on June 15, 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.