Individual provider · Type 1 NPI
Scott Kim, DDS
Oral and Maxillofacial Surgery (Dentist) · Edgewater, NJ
NPI number
1194283614
Active
Practice location
45 Colony Rd
Edgewater, NJ 07020-1505
Mailing address
8 Locksley Ave Apt 8M
San Francisco, CA 94122-3850
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 13678 (CT) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 22DI02829500 (NJ) |
Oral and Maxillofacial Surgery (Dentist): 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.
About NPI 1194283614
Scott Kim, DDS's National Provider Identifier is 1194283614, issued on Mar 4, 2019. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Edgewater, NJ. The record was last updated on Aug 7, 2023.