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MINKYU KIM DDS
NPI 1396638011
Dentist - General Practice in Tewksbury, MA

Active since June 02, 2025
2 ROCKINGHAM DR, TEWKSBURY, MA 01876(781) 996-9969 Get Directions Write a Review

NPPES record last updated: July 14, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 14, 2026, Jun 29, 2025, Jun 11, 2025 and 1 more (4 updates tracked since 2025).

About Minkyu Kim Dds NPPES

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

MINKYU KIM DDS (NPI 1396638011) is an individual general practice provider in Tewksbury, Massachusetts, licensed in Massachusetts (DN10001402) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1396638011
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMINKYU KIMCredential: DDS
Location Address2 ROCKINGHAM DRTewksbury, MA 01876-4276
Mailing Address2 Rockingham DrTewksbury, MA 01876-4276 · (781) 996-9969
Phone(781) 996-9969
Sole ProprietorNo
Enumeration DateJune 2, 2025
Last NPPES UpdateJuly 14, 20264 updates tracked since enumeration
NPPES CertifiedJuly 14, 2026
✔ NPI 1396638011 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 · DN10001402
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.
2 ROCKINGHAM DR, Tewksbury, MA 01876
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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 Minkyu Kim's NPI number?

The NPI number for Minkyu Kim is 1396638011. It was assigned to this individual provider in the NPPES registry on June 2, 2025.

Where is Minkyu Kim located?

Minkyu Kim practices at 2 Rockingham Dr, Tewksbury, MA 01876. The listed phone number is (781) 996-9969.

What is Minkyu Kim'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 Minkyu Kim was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.