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SU JUNG KIM
NPI 1952962649
Dentist in Woodbridge, CT

Active since June 24, 2019PECOS Enrolled
3 RESEARCH DR, WOODBRIDGE, CT 06525(203) 409-2535 Get Directions Write a Review

NPPES record last updated: July 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Su Jung Kim NPPES

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

SU JUNG KIM (NPI 1952962649) is an individual dentist in Woodbridge, Connecticut, licensed in Connecticut (12936) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1952962649
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameSU JUNG KIM
Location Address3 RESEARCH DRWoodbridge, CT 06525-2348
Mailing Address111 Park St Apt 12tNew Haven, CT 06511-5421 · (929) 400-2023
Phone(203) 409-2535
Sole ProprietorNo
Enumeration DateJune 24, 2019
Last NPPES UpdateJuly 2, 2022
NPPES CertifiedJuly 2, 2022
✔ NPI 1952962649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CT · 12936
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.
3 RESEARCH DR, Woodbridge, CT 06525
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Secondary Practice Locations 2

Location 14500 Parsons BlvdFlushing, NY 11355-2205 · Phone (929) 400-2023
Location 2111 Park St Apt 12TNew Haven, CT 06511-5421 · Phone (929) 400-2023

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Su Jung Kim is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06525 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

NEW HAVEN DENTAL GROUP
Dentist (General Practice)
3 RESEARCH DR
WOODBRIDGE, CT 06525
South Central Connecticut Planning Region (203) 389-7080
DR. AASMA ZIA
Dentist
3 RESEARCH DR
WOODBRIDGE, CT 06525
South Central Connecticut Planning Region (203) 409-2535
MARGARET S GREENE DDS
Dentist
3 RESEARCH DR
WOODBRIDGE, CT 06525
South Central Connecticut Planning Region (203) 409-2535

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 Su Jung Kim's NPI number?

The NPI number for Su Jung Kim is 1952962649. It was assigned to this individual provider in the NPPES registry on June 24, 2019.

Where is Su Jung Kim located?

Su Jung Kim practices at 3 Research Dr, Woodbridge, CT 06525. The listed phone number is (203) 409-2535.

What is Su Jung Kim's specialty?

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

Is Su Jung Kim enrolled in Medicare?

Yes. Su Jung Kim is registered in the Medicare PECOS enrollment system.

What insurance does Su Jung Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 2 other insurers list Su Jung 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 Su Jung Kim was last updated on July 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.