MYUNG DAVID KIM (NPI# 1770660664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770660664 |
| Entity Type | Individual |
| Full Name | MYUNG DAVID KIM |
| Credential | DMD |
| Practice Address |
1335 W Tabor Rd Suite 307 Philadelphia PA 19141 |
| Practice Telephone | 2152247757 |
| Practice Fax Number | 2154248103 |
| Mailing Telephone | 2152247757 |
| Mailing Fax Number | 2154248103 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
D028558 | PA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326282757 | Myung Woon Kim | General Practice | Hwy 49 W, Msp U42, Parchman, MS 38738-0000 | 2009-04-29 |
| 1821215039 | Myung Joon Kim | Dentist | 10 Market Square, Suite 3, South Paris, ME 04281 | 2007-04-19 |
| 1386789170 | Myung Shin Kim | Dentist | 15500 La Mirada Blvd, La Mirada, CA 90638-5400 | 2007-02-20 |
| 1255407433 | Myung Sook Kim | Internal Medicine | 200 West 86th Street, Suite 1 I, New York, NY 10024-3303 | 2006-11-28 |
| 1053424051 | Myung S Kim | Surgery | 3333 Biddle St, Suite C, Wyandotte, MI 48192-6284 | 2006-08-16 |
| 1336171990 | Myung S. Kim | Internal Medicine | 22550 Savi Ranch Parkway, Yorba Linda Medical Offices, Yorba Linda, CA 92887 | 2006-07-06 |
| 1144876624 | Myung K Kim | Acupuncturist | 196 Main St, Nanuet, NY 10954-3324 | 2019-08-12 |
| 1235383464 | Myung Mi Kim | Surgery | 1025 Morehead Medical Dr, Suite 300, Charlotte, NC 28204-2963 | 2008-11-14 |
| 1144414384 | Myung C Kim | Acupuncturist | 347 Massachusetts Ave, Arlington, MA 02474-6718 | 2007-08-30 |
| 1912003229 | Myung Hyo Kim | Surgery | 711 Troy Schenectady Rd, Latham, NY 12110 | 2006-09-15 |
| Street Address |
1335 W TABOR RD SUITE 307 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255334439 | Richard Rettig | Podiatrist | 1335 W Tabor Rd, Ste 206, Philadelphia, PA 19141-3040 | 2005-05-23 |
| 1487269262 | Pradeep Kumar Sure | Pharmacist | 1335 W Tabor Rd, Philadelphia, PA 19141-3038 | 2020-09-09 |
| 1306244843 | Affordable Dentistry of North Philadelphia | Dentist | 1335 W Tabor Rd, Philadelphia, PA 19141-3038 | 2014-12-16 |
| 1912242827 | Total Health and Rehab Pllc | Chiropractor | 1335 W Tabor Rd, Suite 305, Philadelphia, PA 19141-3038 | 2012-12-04 |
| 1760780175 | Chad Home Health Agency Inc | Home Health | 1335 W Tabor Rd, Suite 210, Philadelphia, PA 19141-3038 | 2011-03-09 |
| 1972838803 | Lady of Fatima Health Services Inc. | Home Health | 1335 W Tabor Rd, Suite 303, Philadelphia, PA 19141-3038 | 2009-10-09 |
| 1689817066 | Chiropractic Trauma & Rehabilitation Center, P.C. | Chiropractor | 1335 W Tabor Rd, Suite 306, Philadelphia, PA 19141-3038 | 2009-04-14 |
| 1881837318 | Gino Zita | Chiropractor | 1335 W Tabor Rd, Suite 306, Philadelphia, PA 19141-3038 | 2009-04-14 |
| 1629217450 | Jonathan Andrew Malucci | Chiropractor | 1335 W Tabor Rd, Suite 304, Philadelphia, PA 19141-3038 | 2009-02-18 |
| 1043455736 | Todd Michael Levine | Chiropractor | 1335 W Tabor Rd, Suite 211, Philadelphia, PA 19141-3038 | 2008-12-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598375925 | Meredith Jeanne Behr | Physician Assistant | 5401 N Broad St, Philadelphia, PA 19141 | 2020-07-31 |
| 1811552896 | Kristine Nissley | Registered Nurse | Einstein Urology Associates, 1200 West Tabor Road, 3rd Floor, Philadelphia, PA 19141 | 2019-05-06 |
| 1427525054 | Danielle Dicicco Havelin | Social Worker | 1314 Windrim Ave, Philadelphia, PA 19141 | 2018-11-01 |
| 1568956043 | Reid Thomas Alley | Psychiatry & Neurology | Albert Einstein Medical Center 5501 Old York Road, Philadelphia, PA 19141 | 2018-06-19 |
| 1912409533 | Lauren Joy Barton | Physician Assistant | 5401 N Broad St Ste 363, Philadelphia, PA 19141 | 2018-02-28 |
| 1952819633 | Einstein Practice Plan, Inc. | Internal Medicine | 5501 Old York Rd Fl Moss3, Philadelphia, PA 19141 | 2018-01-17 |
| 1043739642 | Lauren Lynn Pleis | Nurse Practitioner | 1200 Tabor Road, Philadelphia, PA 19141 | 2017-09-14 |
| 1225558224 | Ryan A. Hoffman | Student in an Organized Health Care Education/Training Program | Albert Einstein Medical Center, 5501 Old York Road, Philadelphia, PA 19141 | 2017-06-21 |
| 1972036515 | Hussein Safa | Family Medicine | 1300 W Tabor Rd Bldg 1, Philadelphia, PA 19141 | 2017-04-11 |
| 1366895500 | Ejaz Mahmood | Student in an Organized Health Care Education/Training Program | 5501, Old York Road, Albert Einstein Medical Centre, Philadelphia, PA 19141 | 2016-07-22 |
| Find all providers in zip 19141 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528626124 | Christopher Yi | Dentist | 900 Walnut St Rm 300, Philadelphia, PA 19107-5191 | 2019-05-30 |
| 1962942771 | American Management Group | Dentist | 3900 City Avenue Apt W1101, Philadelphia, PA 19131 | 2017-02-27 |
| 1457771545 | Diana Lin | Dentist | 2630 Holme Ave Ste 103, Philadelphia, PA 19152-3004 | 2014-04-16 |
| 1245554385 | Bryant Jones | Dentist | 8957 Roosevelt Blvd, Philadelphia, PA 19152-1312 | 2010-03-18 |
| 1962601773 | Daniel J Bowser | Dentist | 2327 Cottman Ave, Philadelphia, PA 19149-1008 | 2007-07-12 |
| 1396969036 | Franklyn Scott, D.d.s., P.C. | Dentist | 900 East Wadsworth Avenue, Philadelphia, PA 19150 | 2007-04-12 |
| 1073641148 | Delaware Valley Maxillofacial & Oral Surgery LLC | Dentist | 2301 E Allegheny Ave Ste 206, Philadelphia, PA 19134-4427 | 2007-03-01 |
| 1598805608 | Franklyn Scott | Dentist | 900 E Wadsworth Ave, Philadelphia, PA 19150-3417 | 2007-02-07 |
| 1881796985 | Ramin Bahram | Dentist | 2546 S Broad St, Philadelphia, PA 19145-4638 | 2006-09-01 |
| 1255381513 | Michael T Dachowski | Dentist | 2630 Holme Avenue, Suite 103, Philadelphia, PA 19152-1912 | 2006-05-10 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19141 |
Please comment or provide details below to improve the information on MYUNG DAVID 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.