National Provider Identifier Database

SI YEON KIM, DDS – NPI #1912633868
General Practice

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.


Contact Information

SI YEON KIM, DDS
48 MDG/RAF LAKENHEATH
UNIT 5115
APO, AE09461
Phone: 314-226-8317
Fax:
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X

* Indicates primary specialty

NPI Profile & details for SI YEON KIM

NPI Number 1912633868
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 07/25/2022
Last updated 09/12/2024 - More than a year ago
Sole proprietor1 No
Identifiers
  • NJ License #: 22DI02900700
  • NY License #: 062855-01
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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