KYUHO LIM DMD, PC (NPI# 1821152422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821152422 |
| Entity Type | Organization |
| Organization Name | KYUHO LIM DMD, PC |
| Other Organization Name | KENDALL SQUARE DENTAL ASSOCIATES |
| Practice Address |
1 Kendall Sq Building 300, Suite 312 Cambridge MA 02139-1562 |
| Mailing Address |
1 Briarwood Ln Winchester MA 01890-3869 |
| Practice Telephone | 6175778700 |
| Practice Fax Number | 6175770282 |
| Mailing Telephone | 7817291224 |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. KYUHO LIM (PRESIDENT) |
| Authorized Official Telephone | 6175778700 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
14326 | MA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | DELTA DENTAL OF MASS | 04614 | 01 |
| MA | BCBS OF MASS | X10929KE | 01 |
| Other Name | Type Code |
|---|---|
| Kendall Square Dental Associates | Doing Business As Name - Organization |
| Street Address |
1 KENDALL SQ BUILDING 300, SUITE 312 |
| City | CAMBRIDGE |
| State | MA |
| Zip Code | 02139-1562 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467856963 | Jessica Sussman | Psychologist | 1 Kendall Sq, 1400e, Suite B14403, Cambridge, MA 02139-1562 | 2014-10-14 |
| 1407287857 | Stephanie Martin | Physical Therapist | 1 Kendall Sq, Building 400, Cambridge, MA 02139-1562 | 2013-12-11 |
| 1922439736 | Kerri Murphy Schubert | Psychologist | 1 Kendall Sq, Building 1400e, 3rd Floor, Cambridge, MA 02139-1562 | 2013-12-03 |
| 1932534724 | Alex J Callejas Dmd, LLC | Dentist | 1 Kendall Sq, Suite 3104, Cambridge, MA 02139-1562 | 2013-09-11 |
| 1386994499 | Julie Byrne | Physical Therapist | 1 Kendall Sq, Building 400, Cambridge, MA 02139-1562 | 2012-09-17 |
| 1184979239 | Audrey Giere Chandler | Physical Therapist | 1 Kendall Sq, Suite B-4101, Cambridge, MA 02139-1562 | 2012-07-16 |
| 1548419823 | Lucila Halperin | Psychologist | 1 Kendall Sq, Building 1400e, 3rd Floor, Suite B14403, Cambridge, MA 02139-1562 | 2008-09-11 |
| 1609030725 | Benjamin Herzig | Psychologist | 1 Kendall Sq, Suite B14403, Cambridge, MA 02139-1562 | 2008-07-17 |
| 1982889747 | Smile Initiative LLC | Clinic/Center | 1 Kendall Sq, 263, Cambridge, MA 02139-1562 | 2007-12-29 |
| 1255471900 | Kyuho Lim | Dentist | 1 Kendall Sq, Bldg 300, Suite 312, Cambridge, MA 02139-1562 | 2007-02-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598316044 | Diane Greenleaf | Registered Nurse | Cha Windsor Clinic, 119 Windsor St, Cambridge, MA 02139 | 2019-09-26 |
| 1730738345 | Martin Bednar | Student in an Organized Health Care Education/Training Program | 350 Massachusetts Avenue, Cambridge, MA 02139 | 2019-09-06 |
| 1861050049 | Rebecca Marie Addison | Dietitian, Registered | 75 Auburn St, Cambridge, MA 02139 | 2019-06-03 |
| 1285103051 | Jenna Halloran | Social Worker | 929 Massaschusetts Ave, Cambridge, MA 02139 | 2018-11-21 |
| 1750859286 | Lisa Marie Keovongsa | Dietitian, Registered | 186 1/2 Hampshire St., Cambridge, MA 02139 | 2018-11-02 |
| 1245714237 | Eleanor Coffin | Occupational Therapist | 1483 Cambridge St, Cambridge, MA 02139 | 2018-09-17 |
| 1649758277 | Sariya Idriss | Social Worker | Cambridge Health Alliance, 1493 Cambridge St., Cambridge, MA 02139 | 2018-08-06 |
| 1538647151 | Ari Pehkonen | Social Worker | Cambridge Health Alliance, Cambridge Hospital, 1493 Cambridge St., Cambridge, MA 02139 | 2018-08-06 |
| 1972080893 | Esther Cazeau | Counselor | 237 Hampshire St., Cambridge, MA 02139 | 2018-07-24 |
| 1528596533 | Adam Liebling | Acupuncturist | 11 Fiske Pl., Cambridge, MA 02139 | 2017-06-03 |
| Find all providers in zip 02139 | ||||
| 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 |
|---|---|---|---|---|
| 1558968784 | Francina Alvarez Noboa | Dentist | 700 Huron Ave Apt 15m, Cambridge, MA 02138-4590 | 2020-10-01 |
| 1487207239 | George Duncan Georgiev | Dentist | 12 Holbrook Crescent, Cambridge, ONTARIO N1T 1V7 | 2019-07-22 |
| 1609435833 | Jeffrey E. Greenberg, Dmd, P.C. | Dentist | 763 Massachusetts Ave Ste 1, Cambridge, MA 02139-3329 | 2019-06-11 |
| 1720646987 | Lindsey White | Dentist | 40890 W. Hwy 6 & 34, Cambridge, NE 69022 | 2019-06-03 |
| 1619533304 | Sarah Lamecker | Dentist | 110 Opportunity Blvd S Ste A, Cambridge, MN 55008-2222 | 2019-05-17 |
| 1700342268 | Avalon Dental LLC | Dentist | 160 Cambridge St Unit H, Cambridge, MA 02141-1819 | 2019-02-20 |
| 1740637941 | Lissa Cisneros | Dentist | 135 Opportunity Blvd S, Cambridge, MN 55008-1238 | 2016-05-17 |
| 1114292000 | Two Rivers Family & Cosmetic Dentistry | Dentist | 90 S Superior, Cambridge, ID 83610 | 2012-03-12 |
| 1144503715 | Jaime Lyn Klebig | Dentist | N4220 Woodcrest Ln., Cambridge, WI 53523 | 2011-09-21 |
| 1366771792 | Archana Srinivasan | Dentist | 1 Court Ln, Unit 502, Cambridge, MD 21613-1883 | 2009-12-14 |
| Find all providers in CAMBRIDGE | ||||
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| 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.