Individual provider · Type 1 NPI

Han S. Kim, DMD

Periodontics · Fort Meade, MD

NPI number 1861946683 Active

Practice location

2480 Llewellyn Ave
Fort Meade, MD 20755-7081

Call (310) 993-1836 Map

Mailing address

1040 Flynn Rd
Camarillo, CA 93012-5092

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X65331 (CA)
Periodontics Primary 1223P0300X65331 (CA)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1861946683

Han S. Kim, DMD's National Provider Identifier is 1861946683, issued on Aug 10, 2016. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Fort Meade, MD. The record was last updated on Aug 19, 2025.