DR. DONGSU KIM DDS
NPI 1730884560
Dentist - General Practice in Daytona Beach, FL

Q: What is Dongsu Kim's NPI number?

The NPI number for Dongsu Kim is 1730884560. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Q: What is Dongsu Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Dongsu Kim was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 April 03, 2023

1799 N WILLIAMSON BLVD APT 7210, DAYTONA BEACH, FL 32117(804) 937-9680 Get Directions Write a Review

NPPES record last updated: January 8, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 8, 2025, Apr 3, 2023 (2 updates tracked since 2023).

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About Dr. Dongsu Kim Dds NPPES

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

DR. DONGSU KIM DDS (NPI 1730884560) is an individual general practice provider in Daytona Beach, Florida, licensed in Florida (DN28875) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1730884560

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. DONGSU KIMCredential: DDS

Location Address1799 N WILLIAMSON BLVD APT 7210Daytona Beach, FL 32117-5309

Mailing Address311 E 25th St Apt 5fNew York, NY 10010-2501 · (804) 937-9680

Phone(804) 937-9680

Sole ProprietorNo

Enumeration DateApril 3, 2023

Last NPPES UpdateJanuary 8, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 8, 2025

✔ NPI 1730884560 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in FL · DN28875

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.

1799 N WILLIAMSON BLVD APT 7210, Daytona Beach, FL 32117

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and more.Insurance ›

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 Dongsu Kim's NPI number?

The NPI number for Dongsu Kim is 1730884560. It was assigned to this individual provider in the NPPES registry on April 3, 2023.

Where is Dongsu Kim located?

Dongsu Kim practices at 1799 N Williamson Blvd Apt 7210, Daytona Beach, FL 32117. The listed phone number is (804) 937-9680.

What is Dongsu Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Dongsu Kim accept?

Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Alabama and 12 other insurers list Dongsu Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dongsu Kim was last updated on January 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.