DAEWONKIM DDS, PA
NPI 1912100157
Dentist in Havre De Grace, MD

Active since June 06, 2007
736 REVOLUTION ST, HAVRE DE GRACE, MD 21078(410) 939-3890 Get Directions Write a Review

NPPES record last updated: May 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 8, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About Daewonkim Dds, Pa NPPES

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

DAEWONKIM DDS, PA (NPI 1912100157) is a healthcare organization registered as a dentist in Havre De Grace, Maryland and active in the NPI registry since June 2007. The organization lists David D Kim, President, as its authorized official.

NPPES Registry Identity

NPI1912100157
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameDAEWONKIM DDS, PA
Location Address736 REVOLUTION STHavre De Grace, MD 21078-3322
Mailing Address736 Revolution StHavre De Grace, MD 21078-3322 · (410) 939-3890
Organization SubpartNo
Authorized OfficialDavid D KimPresident · (410) 939-3890
Enumeration DateJune 6, 2007
Last NPPES UpdateMay 8, 20242 updates tracked since enumeration
NPPES CertifiedMay 8, 2024
NPI 1912100157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in MD · 10839
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.
736 REVOLUTION ST, Havre De Grace, MD 21078

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dentist (General Practice)
736 REVOLUTION ST
HAVRE DE GRACE, MD 21078

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 Daewonkim Dds, PA's NPI number?

The NPI number for Daewonkim Dds, PA is 1912100157. It was assigned to this organization in the NPPES registry on June 6, 2007.

Where is Daewonkim Dds, PA located?

Daewonkim Dds, PA is located at 736 Revolution St, Havre De Grace, MD 21078. The listed phone number is (410) 939-3890.

What is Daewonkim Dds, PA's specialty?

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

What insurance does Daewonkim Dds, PA accept?

Health plans from UnitedHealthcare list Daewonkim Dds, PA 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 Daewonkim Dds, PA was last updated on May 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.