DR. DAVID DAEWON KIM DDS
NPI 1356487003
Dentist - General Practice in Havre De Grace, MD

Active since January 29, 2007
736 REVOLUTION ST, HAVRE DE GRACE, MD 21078(410) 939-3890(410) 939-7671 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. David Daewon Kim Dds NPPES

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

DR. DAVID DAEWON KIM DDS (NPI 1356487003) is an individual general practice provider in Havre De Grace, Maryland, licensed in Maryland (10839) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1356487003
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. DAVID DAEWON KIMCredential: DDS
Location Address736 REVOLUTION STHavre De Grace, MD 21078-3322
Mailing Address455 Revolution StHavre De Grace, MD 21078-3330 · (410) 939-3890 · Fax (410) 939-7671
Fax(410) 939-7671
Sole ProprietorYes
Enumeration DateJanuary 29, 2007
Last NPPES UpdateMay 8, 2024
NPPES CertifiedMay 8, 2024
NPI 1356487003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MD · 10839
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.
736 REVOLUTION ST, Havre De Grace, MD 21078

Other Identifiers 1

Medicaid081934400MD

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dentist
736 REVOLUTION ST
HAVRE DE GRACE, MD 21078

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 David Kim's NPI number?

The NPI number for David Kim is 1356487003. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Where is David Kim located?

David Kim practices at 736 Revolution St, Havre De Grace, MD 21078. The listed phone number is (410) 939-3890.

What is David Kim's specialty?

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

What insurance does David Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list David 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 David Kim was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.