Individual provider · Type 1 NPI

Joo Kim, DDS

Dentist · Wantagh, NY

NPI number 1790920049 Active

Practice location

3366 Park Ave
Wantagh, NY 11793-3770

Call (646) 784-2703 Map

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X22DI02390000 (NJ)
Dentist Primary 122300000X054830-1 (NY)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1790920049

Joo Kim, DDS's National Provider Identifier is 1790920049, issued on Dec 15, 2008. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Wantagh, NY. The record was last updated on Sep 24, 2025.