Individual provider · Type 1 NPI

Jinsoo Kim, DDS

Dental Anesthesiology · Richardson, TX

NPI number 1316019995 Active

Practice location

4112 E Renner Rd
Richardson, TX 75082-2832

Fax (972) 480-0900

Specialties and licenses

TaxonomyCodeLicense
Dental Anesthesiology Primary 1223D0004X28856 (TX)

Dental Anesthesiology: A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.

2 other providers at this address

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About NPI 1316019995

Jinsoo Kim, DDS's National Provider Identifier is 1316019995, issued on Nov 15, 2006. The primary taxonomy on file is Dental Anesthesiology (1223D0004X), and the practice location is in Richardson, TX. The record was last updated on Oct 27, 2026.