Individual provider · Type 1 NPI

Pyo Jae Kim

General Practice Dentistry · Troy, MI

NPI number 1659991107 Active

Practice location

805 Sandalwood Dr
Troy, MI 48085-1643

Call (213) 400-2614 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
General Practice Dentistry Primary 1223G0001X2901600680 (MI)

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 1659991107

Pyo Jae Kim's National Provider Identifier is 1659991107, issued on Apr 24, 2020. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Troy, MI. The record was last updated on Jan 19, 2021.