DR. JIN KOO KIM DMD
NPI 1306002480
Dentist - General Practice in Sudbury, MA

Q: What is Jin Kim's NPI number?

The NPI number for Jin Kim is 1306002480. It was assigned to this individual provider in the NPPES registry on July 29, 2008.

Q: What is Jin Kim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jin Kim was last updated on September 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since July 29, 2008

19 DEMARCO RD, SUDBURY, MA 01776(339) 221-3692 Get Directions Write a Review

NPPES record last updated: September 20, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jin Koo Kim Dmd NPPES

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

DR. JIN KOO KIM DMD (NPI 1306002480) is an individual general practice provider in Sudbury, Massachusetts, licensed in Massachusetts (22255) and active in the NPI registry since July 2008.

NPPES Registry Identity

NPI1306002480

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JIN KOO KIMCredential: DMD

Location Address19 DEMARCO RDSudbury, MA 01776-2019

Mailing Address19 Demarco RdSudbury, MA 01776-2019 · (339) 221-3692

Phone(339) 221-3692

Sole ProprietorNo

Enumeration DateJuly 29, 2008

Last NPPES UpdateSeptember 20, 2016

✔ NPI 1306002480 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MA · 22255

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.

19 DEMARCO RD, Sudbury, MA 01776

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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, BEST Life and more.Insurance ›

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 Jin Kim's NPI number?

The NPI number for Jin Kim is 1306002480. It was assigned to this individual provider in the NPPES registry on July 29, 2008.

Where is Jin Kim located?

Jin Kim practices at 19 Demarco Rd, Sudbury, MA 01776. The listed phone number is (339) 221-3692.

What is Jin Kim's specialty?

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

What insurance does Jin Kim accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Jin Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jin Kim was last updated on September 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.