Individual provider · Type 1 NPI

Min Jung Kim

Pediatric Dentistry · New York, NY

NPI number 1083116156 Active

Practice location

220 Madison Ave Ste A
New York, NY 10016-3422

Call (212) 880-2222 Map

Mailing address

900 Ave At Port Imperial Blvd Apt 709
Weehawken, NJ 07086-6106

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry 1223P0221X061567 (NY)
Pediatric Dentistry Primary 1223P0221X22DI02791400 (NJ)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1083116156

Min Jung Kim's National Provider Identifier is 1083116156, issued on Mar 5, 2018. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in New York, NY. The record was last updated on Apr 4, 2022.