DR. JIN KOO KIM (NPI# 1306002480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306002480 |
| Entity Type | Individual |
| Full Name | DR. JIN KOO KIM |
| Credential | DMD |
| Practice Address |
19 Demarco Rd Sudbury MA 01776-2019 |
| Practice Telephone | 3392213692 |
| Mailing Telephone | 3392213692 |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2016-09-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
22255 | MA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982225769 | Jin Ah Kim | Military Health Care Provider | Naval Medical Center San Diego 38400 Bon Wilson Drive, San Diego, CA 92134-5000 | 2020-05-03 |
| 1790348886 | Jin Ho Kim | Acupuncturist | 18623 Highway 99 Ste 260, Lynnwood, WA 98037-4555 | 2019-04-15 |
| 1801370093 | Jin Hyun Kim | Acupuncturist | 332 Route 100 Ste 2, Somers, NY 10589-3259 | 2018-09-24 |
| 1659656874 | Jin Dea Kim | Obstetrics & Gynecology | 8370 Royal Troon Dr., Duluth, GA 30097 | 2011-10-19 |
| 1740518174 | Jin Kuen Kim | Acupuncturist | 503 N Pacific Coast Hwy, Redondo Beach, CA 90277-2104 | 2009-11-23 |
| 1629209341 | Jin Young Kim | Dentist | 5811 Pine Ave Ste B, Chino Hills, CA 91709-6541 | 2009-07-29 |
| 1649412719 | Jin Hwan Kim | Pharmacy Technician | 856 Stockbridge Dr, Hockessin, DE 19707-1431 | 2009-04-03 |
| 1588825418 | Jin Kim | Dentist | 23922 Summerhill Ln, Valencia, CA 91354 | 2008-06-23 |
| 1376605477 | Jin Ho Kim | Pharmacist | 12582 Central Ave, Chino, CA 91710-3507 | 2006-12-14 |
| 1437258423 | Jin Tae Kim | Dentist | 2605 Eastern Ave, #2, Sacramento, CA 95821-6614 | 2006-09-22 |
| Street Address |
19 DEMARCO RD |
| City | SUDBURY |
| State | MA |
| Zip Code | 01776-2019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861957730 | Acupuncture Family Practice | Occupational Therapist | 75 Union Avenue, Sudbury, MA 01776 | 2019-02-05 |
| 1730685017 | Jay B. Krasner M.d. | Internal Medicine | 111 Boston Post Rd. Ste 107, Sudbury, MA 01776 | 2018-04-04 |
| 1902326317 | Mary A Tonelli | Registered Nurse | 34 Robert Best Road, Sudbury, MA 01776 | 2017-06-27 |
| 1043761471 | Alice Hsu | Pharmacist | 423 Boston Post Road, Sudbury, MA 01776 | 2016-10-20 |
| 1861815656 | Northeast Allergy Asthma & Immunology, PC | Allergy & Immunology | 616 Boston Post Road, Sudbury, MA 01776 | 2014-01-29 |
| 1053605956 | April R Middleton | Counselor | 365 Boston Post Rd Suite 314, Sudbury, MA 01776 | 2011-06-08 |
| 1720301930 | Selim C. Alptekin Dmd, P.C. | Dentist | 708 Boston Post Rd, Sudbury, MA 01776 | 2010-03-03 |
| 1730322751 | Alexandra Cronin | Physical Therapist | 799 Boston Post Rd, Sudbury, MA 01776 | 2009-04-07 |
| 1629276480 | Joel Jay Goldstein | Psychologist | 30 Nobscot Rd, Unit 11, Sudbury, MA 01776 | 2007-07-03 |
| 1932301751 | Samuel J. Sinclair | Psychologist | Samuel Justin Sinclair, Ph.d. Pllc, 345 Boston Post Road, Sudbury, MA 01776 | 2007-06-04 |
| Find all providers in zip 01776 | ||||
| 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 |
|---|---|---|---|---|
| 1346712221 | Paul Kang, Dmd, P.C. | Dentist | 111 Boston Post Rd Ste 104, Sudbury, MA 01776-2451 | 2018-12-17 |
| 1720301930 | Selim C. Alptekin Dmd, P.C. | Dentist | 708 Boston Post Rd, Sudbury, MA 01776 | 2010-03-03 |
| 1154470235 | Ronnie Du | Dentist | 323 Boston Post Road, Sudbury, MA 01776 | 2007-01-09 |
| 1629144381 | Sorin R Marinescu | Dentist | 370 Boston Post Road, Sudbury, MA 01776 | 2006-11-27 |
| 1285620971 | Steven David Cohen | Dentist | 57 Codjer Ln, Sudbury, MA 01776-2302 | 2005-09-27 |
| 1629675244 | Madison Lemmo | Dentist | 29 Hudson Rd, Sudbury, MA 01776-1757 | 2020-10-06 |
| 1174036925 | Sudbury Family Dental Care | Dentist | 370 Boston Post Rd, Sudbury, MA 01776-3049 | 2017-11-14 |
| 1669864476 | Bridget Mackey Dds, LLC | Dentist | 144 North Rd, Sudbury, MA 01776-1156 | 2015-03-03 |
| 1457644692 | Reina P. Garcia, Dmd PC | Dentist | 321 Boston Post Rd, Suite 4a-4b, Sudbury, MA 01776-3025 | 2011-05-20 |
| 1871762591 | Aram J. Mirigian, D.m.d., P.C. | Dentist | 410 Boston Post Rd, Rugged Bear Plaza Suite 8, Sudbury, MA 01776-3014 | 2008-02-27 |
| Find all providers in SUDBURY | ||||
Please comment or provide details below to improve the information on DR. JIN KOO KIM.
| 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.