GYEONGWON KIM
NPI 1669030391
Dentist - Oral and Maxillofacial Surgery in Cockeysville, MD
About Gyeongwon Kim NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GYEONGWON KIM (NPI 1669030391) is an individual oral and maxillofacial surgery provider in Cockeysville, Maryland, licensed in Maryland (17951) and active in the NPI registry since May 2019. He has opted out of Medicare through October 4, 2027.
NPPES Registry Identity
Specialties & Licenses
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Gyeongwon Kim has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 4, 2023 through October 4, 2027.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COCKEYSVILLE, MD 21030
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669030391, enumerated as an "individual" on May 29, 2019.
The provider is located at 10 WARREN RD STE 330 COCKEYSVILLE, MD 21030 and the phone number is (410) 666-5225.
Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BEST Life, Blue. Please consult your insurance carrier or call the provider to verify.
