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

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: July 19, 2026.

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

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
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

Other Providers at the Same Location NPPES 20

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

Dentist (Pediatric Dentistry)
2080 CHILD ST, NAVAL HOSPITAL JACKSONVILLE
JACKSONVILLE, FL 32214
Orthopaedic Surgery
2080 CHILD ST, NAVAL HOSPITAL JACKSONVILLE--ORTHO DEPT
JACKSONVILLE, FL 32214
Pharmacist
2080 CHILD ST, NAVAL HOSPITAL JACKSONVILLE PHARMACY DEPT
JACKSONVILLE, FL 32214
Psychiatry & Neurology (Psychiatry)
2080 CHILD ST, U. S. NAVAL HOSPITAL JACKSONVILLE NAS JAX
JACKSONVILLE, FL 32214
Emergency Medicine
2080 CHILD ST
JACKSONVILLE, FL 32214
Nurse Practitioner (Family)
2080 CHILD ST
JACKSONVILLE, FL 32214
Psychiatry & Neurology (Neurology)
2080 CHILD ST
JACKSONVILLE, FL 32214
Internal Medicine
2080 CHILD ST
JACKSONVILLE, FL 32214

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1659045466, enumerated as an "individual" on August 04, 2021.

The provider is located at 2080 CHILD ST JACKSONVILLE, FL 32214 and the phone number is (904) 546-4103.

Dentist with taxonomy code 122300000X.