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JI SUN KIM
NPI 1346782018
Dentist - Periodontics in Glen Allen, VA

Active since November 13, 2016
3823 MAHER MNR, GLEN ALLEN, VA 23060(919) 450-7550 Get Directions Write a Review

NPPES record last updated: November 13, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ji Sun Kim NPPES

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

JI SUN KIM (NPI 1346782018) is an individual periodontics provider in Glen Allen, Virginia, licensed in Virginia (0401415219) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1346782018
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameJI SUN KIM
Location Address3823 MAHER MNRGlen Allen, VA 23060-5979
Mailing Address3823 Maher MnrGlen Allen, VA 23060-5979 · (919) 450-7550
Phone(919) 450-7550
Sole ProprietorNo
Enumeration DateNovember 13, 2016
✔ NPI 1346782018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in VA · 0401415219
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
3823 MAHER MNR, Glen Allen, VA 23060
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana 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 Ji Sun Kim's NPI number?

The NPI number for Ji Sun Kim is 1346782018. It was assigned to this individual provider in the NPPES registry on November 13, 2016.

Where is Ji Sun Kim located?

Ji Sun Kim practices at 3823 Maher Mnr, Glen Allen, VA 23060. The listed phone number is (919) 450-7550.

What is Ji Sun Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

What insurance does Ji Sun Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 4 other insurers list Ji Sun 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 Ji Sun Kim was last updated on November 13, 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.