SHIN JOSEPH KIM


Address: 8901 Wisconsin Ave, Oral & Maxillofacial Surgery / Wrnmmc, Bethesda, MD 20889-0004
Phone: 3012954340

SHIN JOSEPH KIM (NPI# 1154645661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154645661
Entity Type Individual
Full Name SHIN JOSEPH KIM
Credential D.D.S.
Practice Address 8901 Wisconsin Ave
Oral & Maxillofacial Surgery / Wrnmmc
Bethesda
MD 20889-0004
Practice Telephone 3012954340
Mailing Telephone 3012954340
Enumeration Date 2010-03-26
Last Update Date 2020-11-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 122300000X Dentist 7764010-9921-201 UT Dental Providers
Y 1223S0112X Dentist
Specialization: Oral and Maxillofacial Surgery
0401417115 VA Dental Providers

Other Providers SHIN KIM

NPI Name Taxonomy Address Enumeration
1407057870 Shin Ja Kim Chiropractor 3663 W 6th St, #201, La, CA 90020 2007-05-31
1427268671 Shin Kim Dentist 11404 Old Georgetown Rd, Suite 101, Rockville, MD 20852-2865 2007-05-23
1770797441 Shin Won Kim Pharmacist 2401 W Belvedere Ave, Baltimore, MD 21215-5216 2007-05-10
1255466850 Shin Kim Optometrist 2219 S 37th St, Tacoma, WA 98409-7473 2007-02-22
1821199068 Shin Y Kim Radiology 645 N Arlington Ave, Suite 250a, Reno, NV 89503-4460 2006-09-26
1356361356 Shin Eung Kim Family Medicine 90 Main St, Westernport, MD 21562-1408 2006-07-20

Office Location

Street Address 8901 WISCONSIN AVE
ORAL & MAXILLOFACIAL SURGERY / WRNMMC
City BETHESDA
State MD
Zip Code 20889-0004

Providers in the same location

NPI Name Taxonomy Address Enumeration
1093710246 Rosemary Grace Carr-malone Psychiatry & Neurology 8901 Wisconsin Ave, Bethesda, MD 20889-5600 2005-06-15
1861017212 Luke White Student in an Organized Health Care Education/Training Program 8901 Wisconsin Ave, Bethesda, MD 20889-0004 2020-06-11
1538782545 Alexander Pastino Student in an Organized Health Care Education/Training Program 8901 Wisconsin Ave, Bethesda, MD 20889-0004 2020-05-26
1104449362 Justin James De Vera Student in an Organized Health Care Education/Training Program 8901 Wisconsin Ave, Bethesda, MD 20889-0004 2020-05-22
1881217180 Reece Mckenzie Student in an Organized Health Care Education/Training Program 8901 Wisconsin Ave, Bethesda, MD 20889-0004 2020-05-20
1073135695 Alex Kim Student in an Organized Health Care Education/Training Program 8901 Wisconsin Ave, Bethesda, MD 20889-0004 2020-05-18
1619599354 Jacob Mickey Wyse Student in an Organized Health Care Education/Training Program 8901 Wisconsin Ave, Bethesda, MD 20889-0004 2020-05-16
1770105413 Anna M Russell Student in an Organized Health Care Education/Training Program 8901 Wisconsin Ave, Bethesda, MD 20889-0004 2020-05-16
1699397364 Jessica Nicole Clark Student in an Organized Health Care Education/Training Program 8901 Wisconsin Ave, Bethesda, MD 20889-0004 2020-05-15
1558983296 Mason Cleary Ditthardt Fortuno Military Health Care Provider 8901 Wisconsin Ave, Bethesda, MD 20889-0004 2020-05-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457987034 Michael Franco Student in an Organized Health Care Education/Training Program Internal Medicine - Walter Reed Nmmc, 8901 Wisconsin Avenue, Bethesda, MD 20889 2020-03-16
1245862135 Kay Tomashek Pediatrics National Military Medical Center, 8901 Rockville Pike, Bethesda, MD 20889 2020-02-07
1104470657 Adam Pink Dentist 8901 Wisconsin Ave Building 9 Floor 2, Bethesda, MD 20889 2019-08-01
1659939155 Matthew Heller Student in an Organized Health Care Education/Training Program Psychiatry Walter Reed National Military Medica, 8901 Wisconsin Avenue, Bethesda, MD 20889 2019-05-30
1891258034 Jane Ann Crotteau Student in an Organized Health Care Education/Training Program Pediatrics Walter Reed National Military Medical Center, 8901 Wisconsin Avenue, Bethesda, MD 20889 2019-04-12
1417434341 Andrea Baeder Dentist 8901 Wisconsin Ave Bldg 9, Floor 2, Bethesda, AA 20889 2018-07-24
1942741723 John Vance Orthotist Wrnmmc Orthotics, 8901 Wisconsin Avenue, Bethesda, MD 20889 2017-03-14
1790225704 Sylvia Best Pharmacist 8901 Wisconsin Avenue Wrnmmc-, Americas Building 19- Internal Medicine Suite 2820, Bethesda, MD 20889 2017-02-24
1255783767 Ryan Kaye Student in an Organized Health Care Education/Training Program Nsa Bethesda, 8901 Wisconsin Ave, Bethesda, Md 20889, Fpo, AA 20889 2016-07-08
1366861221 Tara Elizabeth Brown Internal Medicine 8901 Wisconsin Avenue Walter Reed Nmmc, Bethesda, MD 20889 2014-04-08
Find all providers in zip 20889

Taxonomy Information

Taxonomy Code 1223S0112X
Grouping Dental Providers
Classification Dentist
Specialization Oral and Maxillofacial Surgery

Taxonomy Definition

The specialty of dentistry which includes 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.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922028331 David S. Ross Dds PC Dentist 4949 Battery Ln, Bethesda, MD 20814-4942 2006-07-20
1801192638 Maryland Oral Surgery Associates of Bethesda, LLC Dentist 10401 Old Georgetown Rd, Suite 206, Bethesda, MD 20814-1911 2011-01-26
1487961025 Center for Oral & Facial Enhancement, Inc Dentist 4825 Bethesda Ave, Suite 310, Bethesda, MD 20814-5245 2010-09-02
1164548335 Oral and Maxillofacial Surgery Specialists PC Dentist 10215 Fernwood Rd, Suite 510, Bethesda, MD 20817-1106 2007-03-21
1154476109 Ronald Dana Solomson Dentist 10215 Fernwood Road, #601, Bethesda, MD 20817 2007-01-23
1134271711 George Louis Grillon Dentist 10215 Fernwood Rd, Suite 510, Bethesda, MD 20817-1106 2007-01-17
1295841161 Christopher Nelson Hanhila Dentist 8901 Wisconsin Ave, Bethesda, MD 20889-0001 2006-08-22
1700992252 Barton Reid Welbourn Dentist 8901 Wisconsin Ave, Bethesda, MD 20889-0001 2006-08-21
1194786780 Edward George Reeg Dentist 8901 Wisconsin Ave, Bethesda, MD 20889-0001 2006-03-31
1902885668 David Anthony Bitonti Dentist National Naval Medical Ctr, Director for Surgical Services, 8901 Wisconsin Avenue, Bethesda, MD 20889-5600 2006-01-11
Find all providers in BETHESDA

Competitor

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City BETHESDA
Zip Code 20889

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Dataset Information

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.

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