Individual provider · Type 1 NPI

Thomas Sungyeob Kim, DDS, MD

Student in an Organized Health Care Education/Training Program · Ann Arbor, MI

NPI number 1194478305 Active

Practice location

4770 Lohr Rd
Ann Arbor, MI 48108-9534

Call (248) 794-4878 Map

Mailing address

3111 N Houston St Apt 404
Dallas, TX 75219-7898

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1194478305

Thomas Sungyeob Kim, DDS, MD's National Provider Identifier is 1194478305, issued on Jan 27, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Ann Arbor, MI. The record was last updated on Oct 23, 2025.