Individual provider · Type 1 NPI

Michelle Kim

General Practice Dentistry · Leominster, MA

NPI number 1245644608 Active

Practice location

55 Sack Blvd
Leominster, MA 01453-3325

Mailing address

2216 Ivy Rd Ste 205
Charlottesville, VA 22903-4966

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
General Practice Dentistry Primary 1223G0001X0401415127 (VA)

General Practice Dentistry: 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.

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About NPI 1245644608

Michelle Kim's National Provider Identifier is 1245644608, issued on Jun 13, 2014. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Leominster, MA. The record was last updated on Apr 1, 2025.