Individual provider · Type 1 NPI

Mi Ran Kim

General Practice Dentistry · Boston, MA

NPI number 1619737178 Active

Practice location

1 Kneeland St
Boston, MA 02111-1527

Call (703) 987-5086 Map

Mailing address

1607 Pinder St Apt 235
Frederick, MD 21701-1523

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X19047 (MD)

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 1619737178

Mi Ran Kim's National Provider Identifier is 1619737178, issued on Mar 21, 2024. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Boston, MA. The record was last updated on Nov 18, 2025.