SE JONG KIM


Address: 1107 Nelson St, Rockville, MD 20850-2031
Phone: 3014242031

SE JONG KIM (NPI# 1477907459) 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) 1477907459
Entity Type Individual
Full Name SE JONG KIM
Other Name STEVE KIM
Credential DMD, MS
Practice Address 1107 Nelson St
Rockville
MD 20850-2031
Practice Telephone 3014242031
Mailing Telephone 4126518614
Enumeration Date 2016-04-16
Last Update Date 2016-09-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0700X Dentist
Specialization: Prosthodontics
15878 MD Dental Providers

Office Location

Street Address 1107 NELSON ST
City ROCKVILLE
State MD
Zip Code 20850-2031

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568511806 Catherine Roberts Counselor 1107 Nelson St, Suite 204, Rockville, MD 20850-2031 2007-01-09
1194042671 Christina Louise Platia Dentist 1107 Nelson St, Suite 201, Rockville, MD 20850-2031 2010-04-23
1497808216 Dennis Stanley Norkiewicz Dentist 1107 Nelson St, Suite 201, Rockville, MD 20850-2031 2007-01-18

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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
1366738536 William E. Chmar Dentist 5952 Hubbard Dr, Rockville, MD 20852-4824 2011-06-25
1831499433 Stuart L. Graves Dental Associates, P.C. Dentist 11200 Rockville Pike Ste 115, Rockville, MD 20852-7114 2010-10-28
1326152885 Robert J Sanker Dentist 12250 Rockville Pike, Suite 210, Rockville, MD 20852-1600 2006-08-19
1396877866 Elenir Goncalves Oliveira Bernardes Dentist 11404 Old Georgetown Rd, Suite 201, Rockville, MD 20852-2865 2007-03-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1417473273 Andrey Doroshenko Dentist 1722 Underwood Road, Sykesville, MD 21784 2017-08-14
1275902298 Yeremi A Canizales Dds P A Dentist 572 Ritchie Hwy Ste F, Severna Park, MD 21146-2966 2015-09-21
1770911273 Fotini Chrisopoulos Dentist 11 N Eutaw St Apt 405, Baltimore, MD 21201-1794 2013-10-18
1548514730 Churchton Dental Care Dentist 5570 Shady Side Rd, Unit A, Churchton, MD 20733-9639 2012-11-09
1124396551 Guadalupe Garcia Fay Dentist 650 W Baltimore St # 4220, Baltimore, MD 21201-1510 2011-12-13
1598033136 Mark Edward Brennan Dentist 882 Backbone Ct, Westminster, MD 21157-7745 2011-12-11
1073812913 Family Cosmetic & Implant Dentistry Dentist 3222 Powder Mill Rd, Adelphi, MD 20783-1037 2011-03-17
1578707204 Andrea Denise Jackson Dentist 6912 Wade Ave, Clinton, MD 20735-2743 2009-04-24
1679719165 John Tran Dentist 9422 Curran Rd, Silver Spring, MD 20901-2804 2009-01-05
1720230527 George C. Whitaker Dentist 8815 Centre Park Dr, Columbia, MD 21045-2282 2008-10-13
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Competitor

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City ROCKVILLE
Zip Code 20850

Improve Information

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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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