DR. SUNG WOO KIM DDS
NPI 1659045466
Dentist in Jacksonville, FL

Q: What is Sung Woo Kim's NPI number?

The NPI number for Sung Woo Kim is 1659045466. It was assigned to this individual provider in the NPPES registry on August 4, 2021.

Q: What is Sung Woo Kim's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Sung Woo Kim was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since August 04, 2021

2080 CHILD ST, JACKSONVILLE, FL 32214(904) 546-4103 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 7, 2024, Oct 26, 2023, Aug 4, 2021 (3 updates tracked since 2021).

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About Dr. Sung Woo Kim Dds NPPES

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

DR. SUNG WOO KIM DDS (NPI 1659045466) is an individual dentist in Jacksonville, Florida, licensed in Texas (37652) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1659045466

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. SUNG WOO KIMCredential: DDS

Location Address2080 CHILD STJacksonville, FL 32214-5005

Mailing Address21210 Twisted Willow LnKaty, TX 77450-6318 · (703) 507-9151

Phone(904) 546-4103

Sole ProprietorNo

Enumeration DateAugust 4, 2021

Last NPPES UpdateOctober 7, 20243 updates tracked since enumeration

NPPES CertifiedOctober 7, 2024

✔ NPI 1659045466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in TX · 37652

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

2080 CHILD ST, Jacksonville, FL 32214

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