DR. HYEONGIL KIM


Address: 3435 Main St., Squire Hall, Room 210a, Buffalo, NY 14214-8006
Phone: 7168292721

DR. HYEONGIL KIM (NPI# 1285869719) 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) 1285869719
Entity Type Individual
Full Name DR. HYEONGIL KIM
Credential D.D.S.
Practice Address 3435 Main St.
Squire Hall, Room 210a
Buffalo
NY 14214-8006
Practice Telephone 7168292721
Practice Fax Number 7168292031
Mailing Telephone 7168292721
Mailing Fax Number 7168292031
Enumeration Date 2009-05-28
Last Update Date 2010-03-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0700X Dentist
Specialization: Prosthodontics
054804-1 NY Dental Providers

Office Location

Street Address 3435 MAIN ST.
SQUIRE HALL, ROOM 210A
City BUFFALO
State NY
Zip Code 14214-8006

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780774240 Eugene A. Pantera Jr. Dentist 3435 Main St., 240 Squire Hall, Buffalo, NY 14214-3008 2006-10-13
1639548886 Shiva Rahimi - Shahmirzadi Student in an Organized Health Care Education/Training Program 3435 Main St., 105 Park Hall South Campus, Buffalo, NY 14216 2015-09-17
1801122072 Suny Buffalo Special Hospital 3435 Main St., 105 Parker Hall, Buffalo, NY 14214 2009-10-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346862935 Hafiz Muhammad Fazeel Student in an Organized Health Care Education/Training Program 2157 Main Street Sisters Hospital Department of Medicin, Buffalo, NY 14214 2020-05-18
1962031542 Sana Annan Anesthesiology 195 Holden St, Buffalo, NY 14214 2020-04-06
1508404401 Gabrielle Korman Counselor 70 Jewett Parkway, Buffalo, NY 14214 2019-12-11
1215581541 Ahmed Nagy Abdelrahman Speech-Language Pathologist 3435 Main Street 114 Cary Hall, University At Buffalo, Buffalo, NY 14214 2019-07-25
1316590086 Megan Elizabeth Quinn Social Worker 34 Benwood Ave., Buffalo, NY 14214 2019-07-22
1235690553 Iqra Qamar Student in an Organized Health Care Education/Training Program 2157 Main St. Sisters Hospital, Department of Medicine, 5th Floor, Buffalo, NY 14214 2019-03-28
1477034676 April Forsaith Villacrusis Specialist/Technologist 18 Agassiz Circle, Attn: Athletics Dept., Buffalo, NY 14214 2018-08-24
1437656675 Anum Nida Student in an Organized Health Care Education/Training Program Sisters of Charity Hospital, 2157 Main St 2nd Floor, Buffalo, NY 14214 2018-04-12
1710480173 Wny Podiatric Associates Pllc Podiatrist 2121 Main St Ste 214, Buffalo, NY 14214 2018-03-13
1043738446 Alexander Paul Peters Physical Therapist 53 Robie St, Apt 3, Buffalo, NY 14214 2017-09-06
Find all providers in zip 14214

Taxonomy Information

Taxonomy Code 1223P0700X
Grouping Dental Providers
Classification Dentist
Specialization Prosthodontics

Taxonomy Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1871611996 Frederick Michael Mcintyre Dentist 210a Squire Hall University Dental Associates, Ub School of Dental Medicine, Buffalo, NY 14214 2007-03-27
1164040044 Jeffrey Alan Willis Dentist 3435 Main St, Buffalo, NY 14214-3001 2020-07-08
1881102366 Rui Li Dentist 215 Squire Hall, Buffalo, NY 14214-8006 2018-01-18
1861921025 David Anthony Dipalma Dentist 3435 Main St, Buffalo, NY 14214-3099 2017-06-09
1326492208 Jessica Elyse Canallatos Dentist 462 Grider St, Buffalo, NY 14215 2016-04-18
1245669217 Mcclure Dental Services Dentist 2000 Eggert Rd, Buffalo, NY 14226-2139 2013-11-11
1740620905 Dana M Keblawi Dentist 3435 Main St, 215 Squire Hall, Buffalo, NY 14214-3001 2013-07-02
1770922783 Amanda C Colebeck Dentist 462 Grider St, Dept of Oral Oncology and Maxillofacial Prosthetics, Buffalo, NY 14215-3021 2013-06-24
1841551652 Paul Canallatos Dentist 462 Grider St, Buffalo, NY 14215 2012-06-07
1871812545 Latifa Rahman Bairam Dentist 3435 Main St, 210 Squire Hall Suny At Buffalo, Buffalo, NY 14214-3001 2010-05-20
Find all providers in BUFFALO

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City BUFFALO
Zip Code 14214

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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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