TOMMY L KIM DDS, II, PLLC (NPI# 1053859090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053859090 |
| Entity Type | Organization |
| Organization Name | TOMMY L KIM DDS, II, PLLC |
| Other Organization Name | SOUTH BOULEVARD DENTAL |
| Practice Address |
2400 South Blvd Suite 201 Charlotte NC 28203-5159 |
| Practice Telephone | 9808191817 |
| Mailing Telephone | 9808191817 |
| Enumeration Date | 2017-02-10 |
| Last Update Date | 2017-02-10 |
| Authorized Official Name | SARAH BELLE ROGERS (OFFICE MANAGER) |
| Authorized Official Telephone | 9808191817 |
| Authorized Official Credential | DAII |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
NC7145 | NC | Dental Providers |
| Other Name | Type Code |
|---|---|
| South Boulevard Dental | Doing Business As Name - Organization |
| Street Address |
2400 SOUTH BLVD SUITE 201 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28203-5159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538600531 | Novant Medical Group, Inc. | Obstetrics & Gynecology | 2400 South Blvd, Suite 103, Charlotte, NC 28203-5159 | 2017-03-10 |
| 1912447079 | Novant Medical Group Inc | Family Medicine | 2400 South Blvd, Suite 200, Charlotte, NC 28203-5159 | 2017-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982225983 | William Bedard Michel | Emergency Medicine | Carolina Medical Center, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-04-30 |
| 1922636927 | Paulina M Kriska | Dentist | Cmc Dental Clinic, 1000 Blythe Blvd, Charlotte, NC 28203 | 2020-03-27 |
| 1386271930 | Irina Maria Geiculescu | Pediatrics | 1000 Blythe Blvd Fl 4 Meb, Charlotte, NC 28203 | 2020-03-24 |
| 1205499316 | James C Winnek | Counselor | 1713 East Blvd., Charlotte, NC 28203 | 2019-04-16 |
| 1487114492 | Laurie Fford Counseling and Consulting Pllc | Counselor | 125 Remount Rd, Suite C-#391, Charlotte, NC 28203 | 2019-03-25 |
| 1184188815 | Sunday Money | Home Health | 2151 Hawkins St., Suite 201, Charlotte, NC 28203 | 2019-01-28 |
| 1164902706 | Lindsay Koonce Helton | Dietitian, Registered | 1218 East Blvd Ste G, Charlotte, NC 28203 | 2018-08-14 |
| 1376057406 | Veritas Collaborative Charlotte, LLC | Clinic/Center | 1900 Scott Avenue, Suite 101, Charlotte, NC 28203 | 2017-11-28 |
| 1043733306 | Kimberly Stripp | Pharmacist | 1300-b East Blvd, Charlotte, NC 28203 | 2017-07-19 |
| 1427570639 | Caroline Kaleel Fogleman | Optometrist | 1710 Kenilworth Ave Ste 210, Charlotte, NC 28203 | 2017-07-10 |
| Find all providers in zip 28203 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851805 | Ganglani Dmd Pllc | Dentist | 8420 Park Rd, Charlotte, NC 28210-5801 | 2020-08-10 |
| 1598381816 | Robert Edwin Porter | Dentist | 135 S Sharon Amity Rd Ste 200, Charlotte, NC 28211-3871 | 2020-06-23 |
| 1811511165 | Cameron Campbell | Dentist | 2315 W Arbors Dr Ste 220, Charlotte, NC 28262-2639 | 2020-06-02 |
| 1407479264 | Darren Ramsey Dds Pllc | Dentist | 2748 Interstate St Ste C, Charlotte, NC 28208-3654 | 2020-05-27 |
| 1265052070 | Alterman Dhillon and Associates | Dentist | 4815 Berewick Town Center Dr Ste I&j, Charlotte, NC 28278-6733 | 2020-04-22 |
| 1982234357 | S. Gibree, D.m.d., P.C. | Dentist | 8680 Rachel Freeman Way Ste A, Charlotte, NC 28278-9567 | 2020-01-24 |
| 1093354854 | S. Gibree, D.m.d., P.C. | Dentist | 9511 Riverbend Village Dr Ste I5, Charlotte, NC 28216-9124 | 2019-12-27 |
| 1063057479 | Justin Harlow Dds Pa 2 | Dentist | 2607 E 7th St Ste 102, Charlotte, NC 28204-4308 | 2019-11-08 |
| 1336782192 | David Hendrick Dds Pllc IIi | Dentist | 13739 Steele Creek Rd Unit 100, Charlotte, NC 28273-7139 | 2019-10-24 |
| 1891342119 | Natasha Mofrad | Dentist | 3210 Wilkinson Blvd, Charlotte, NC 28208-5661 | 2019-08-21 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.