1. Home
  2. Directory
  3. New York
  4. Plainview
  5. Dentist
  6. NPI Profile

DR. KEN KWANGDEOK KIM DMD
NPI 1730416900
Dentist - General Practice in Plainview, NY

Active since November 09, 2009
1163 OLD COUNTRY RD, PLAINVIEW, NY 11803(516) 932-7171(516) 932-7707 Get Directions Write a Review

NPPES record last updated: April 13, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ken Kwangdeok Kim Dmd NPPES

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

DR. KEN KWANGDEOK KIM DMD (NPI 1730416900) is an individual general practice provider in Plainview, New York, licensed in New York (055244) and active in the NPI registry since November 2009.

NPPES Registry Identity

NPI1730416900
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KEN KWANGDEOK KIMCredential: DMD
Location Address1163 OLD COUNTRY RDPlainview, NY 11803-5029
Mailing Address1163 Old Country RdPlainview, NY 11803-5029 · (516) 932-7171 · Fax (516) 932-7707
Phone(516) 932-7171
Fax(516) 932-7707
Sole ProprietorNo
Enumeration DateNovember 9, 2009
Last NPPES UpdateApril 13, 2011
✔ NPI 1730416900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in NY · 055244✔ Licensed in NJ · 22DI02424400
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.
1163 OLD COUNTRY RD, Plainview, NY 11803
Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

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

MR. JOSEPH ANTHONY RESTIVO RPH.
Pharmacist
1163 OLD COUNTRY RD
PLAINVIEW, NY 11803
Nassau County (516) 822-6300
DR. JEE Y PARK DMD
Dentist
1163 OLD COUNTRY RD
PLAINVIEW, NY 11803
Nassau County (848) 248-0404

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 Ken Kim's NPI number?

The NPI number for Ken Kim is 1730416900. It was assigned to this individual provider in the NPPES registry on November 9, 2009.

Where is Ken Kim located?

Ken Kim practices at 1163 Old Country Rd, Plainview, NY 11803. The listed phone number is (516) 932-7171.

What is Ken 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 Ken Kim was last updated on April 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.