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JOHN M KIM DMD PC NPI 1144537333


NPI Information

NPI: 1144537333
Provider Name: JOHN M KIM DMD PC

Other Name: JOHN M KIM DMD

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
3102 NILES RD
SAINT JOSEPH, MI
ZIP 49085
Phone: (269) 429-7122
Get Directions

JOHN M KIM DMD PC is an oral and maxillofacial surgery dentist in Saint Joseph, MI. The provider is 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. JOHN M KIM DMD PC NPI is 1144537333. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is John M Kim Dmd.

The provider's business location address is:

3102 NILES RD
SAINT JOSEPH, MI
ZIP 49085-609
Phone: (269) 429-7122
Fax: (269) 429-6410

The provider's authorized official is Cindy Mitowski .
The authorized official title is Office Manager and has the following contact phone number (269) 429-7122.

The enumeration date for this NPI number is 9/9/2010 and was last updated on 7/23/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223S0112XDentistOral and Maxillofacial Surgery014347MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1U05429MEDICARE UPINMICHIGAN
25116012MEDICARE PINMICHIGAN
32983370MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.