Individual provider · Type 1 NPI
John Marion Kim, DMD
Oral and Maxillofacial Surgery (Dentist) · St. Joseph, MI
NPI number
1891731204
Active
Practice location
3102 Niles Rd
St. Joseph, MI 49085-8609
Fax (269) 429-6410
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 014347 (MI) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Another provider at this address
About NPI 1891731204
John Marion Kim, DMD's National Provider Identifier is 1891731204, issued on Jun 22, 2006. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in St. Joseph, MI. The record was last updated on Jul 9, 2007.