DR. MIN JUNG KIM (NPI# 1659444099) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659444099 |
| Entity Type | Individual |
| Full Name | DR. MIN JUNG KIM |
| Other Name | MINJUNG YOON |
| Credential | D.M.D. |
| Practice Address |
340 Maple Street #210 Marlborough MA 01752 |
| Practice Telephone | 5084809299 |
| Practice Fax Number | 5084809979 |
| Mailing Telephone | 5084809299 |
| Mailing Fax Number | 5084809979 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2014-10-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DN20265 | MA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | 9763210 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174861892 | Min Jung Kim | Internal Medicine | 4619 Kanawha Avenue Sw, South Charleston, WV 25309 | 2013-01-30 |
| 1386816718 | Min Jung Kim | Acupuncturist | 2 W 32nd St, Suite 204, New York, NY 10001-3809 | 2008-03-26 |
| 1083116156 | Min Jung Kim | Student in an Organized Health Care Education/Training Program | 150 55th St, Brooklyn, NY 11220-2508 | 2018-03-05 |
| 1902312341 | Min Jung Kim | Acupuncturist | 3409 Murray St Fl 2, Flushing, NY 11354-3948 | 2017-12-21 |
| 1689035024 | Min Jung Kim | Pharmacist | 527 E Baltimore Pike, Media, PA 19063-3509 | 2016-03-13 |
| 1164743258 | Min Jung Kim | Dentist | 330 W 58th St, Suite 309, New York, NY 10019-1827 | 2010-06-12 |
| Street Address |
340 MAPLE STREET #210 |
| City | MARLBOROUGH |
| State | MA |
| Zip Code | 01752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154385078 | Matthew P Butler | Podiatrist | 340 Maple Street, Suite 405, Marlborough, MA 01752 | 2006-04-17 |
| 1235487893 | Jillian Reed | Counselor | 340 Maple Street, Marlborough, MA 01752-3295 | 2012-08-29 |
| 1841212461 | Chun Yu Yogi Chen | Dentist | 340 Maple Street, 205, Marlborough, MA 01752 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811597883 | Tiffany Marie Stewart | Behavior Technician | 255 Cedar Hill Street Suite 200, Marlborough, MA 01752 | 2020-10-29 |
| 1235754664 | Jessica Michelle Rudolph | Behavior Technician | 22 Cedar Hill Street, Suite 200, Marlborough, MA 01752 | 2020-06-11 |
| 1619501012 | Kady Potter | Behavioral Analyst | 225 Cedar Hill Street, Marlborough, MA 01752 | 2020-02-25 |
| 1639701113 | Cheyenne-lynn Charnik | Behavior Technician | 255 Cedar Hill St, Suite 200, Marlborough, MA 01752 | 2020-02-12 |
| 1063042711 | Nichole Lowder | Behavioral Analyst | 22 5 Cedar Hill Street Suite 200, Marlborough, MA 01752 | 2020-01-22 |
| 1164068649 | Ludiana Andrade | Behavioral Analyst | 225 Cedar Hill Street Suite 200, Marlborough, MA 01752 | 2019-11-20 |
| 1215583646 | Olivia Setzer | Behavior Technician | 225 Cedar Street, Suite 200, Marlborough, MA 01752 | 2019-08-12 |
| 1306490867 | Rachael Lee Pennachi | Behavior Technician | 225 Cedar Hill Street Ste 200, Marlborough, MA 01752 | 2019-08-01 |
| 1962964130 | Hero Therapy LLC | Behavioral Analyst | 11 Apex Dr Ste 300a, Marlborough, MA 01752 | 2019-04-04 |
| 1780190728 | Rachel Castleberry | Counselor | Advocates, 340 Maple Street 4th Floor, Marlborough, MA 01752 | 2017-12-28 |
| Find all providers in zip 01752 | ||||
| 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 |
|---|---|---|---|---|
| 1023292844 | Vanessa D. Newton | Dentist | 221 Boston Post Rd E Ste 330, Marlborough, MA 01752-3527 | 2007-12-28 |
| 1174705792 | Dennis J Ahern Dds PC | Dentist | 222 Bolton Street, Marlborough, MA 01752 | 2007-12-05 |
| 1013112101 | Preetha M Prasath | Dentist | 116 Main St Ste 1, Marlborough, MA 01752-3811 | 2007-06-19 |
| 1174731608 | Joseph A Prignano | Dentist | Route 66, 14 East Hampton Road, Marlborough, CT 06424 | 2007-05-18 |
| 1952427494 | Dennis C Hodgdon | Dentist | 6 Lake Road, Marlborough, CT 06447 | 2007-03-22 |
| 1528193885 | Sanjiv Nehra | Dentist | 222 Bolton St, Marlborough, MA 01752-3902 | 2007-02-23 |
| 1801936075 | Margarita Panajoti | Dentist | 661c Boston Post Rd E, Marlborough, MA 01752-3732 | 2007-02-07 |
| 1568514883 | Mpgt Corp | Dentist | 661 Boston Post Rd E Ste C, Marlborough, MA 01752-3732 | 2007-01-17 |
| 1962553362 | Edward Fred Ingerman | Dentist | 530 Boston Post Rd E Ste D, Marlborough, MA 01752-3645 | 2007-01-15 |
| 1053322230 | Melissa A Moeckel | Dentist | 11a Florence St, Marlborough, MA 01752-2822 | 2006-08-11 |
| Find all providers in MARLBOROUGH | ||||
| City | MARLBOROUGH |
| Zip Code | 01752 |
Please comment or provide details below to improve the information on DR. MIN JUNG 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.