DOSHIK KIM (NPI# 1073655981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073655981 |
| Entity Type | Individual |
| Full Name | DOSHIK KIM |
| Credential | DMD |
| Practice Address |
103 Old Marlton Pike Suite 200 Medford NJ 08055-8772 |
| Practice Telephone | 6099537123 |
| Mailing Telephone | 6099537123 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223P0300X |
Dentist Specialization: Periodontics |
DS030373L | PA | Dental Providers |
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
22DI02301100 | NJ | Dental Providers |
| Street Address |
103 OLD MARLTON PIKE SUITE 200 |
| City | MEDFORD |
| State | NJ |
| Zip Code | 08055-8772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467442384 | John Yohan Kim | Allergy & Immunology | 103 Old Marlton Pike, Suite 211, Medford, NJ 08055-8772 | 2005-10-22 |
| 1992058689 | Courtney E Houde | Physician Assistant | 103 Old Marlton Pike, Medford, NJ 08055 | 2012-10-18 |
| 1790066264 | Sleep for Health-medford LLC | Clinic/Center | 103 Old Marlton Pike, Suite 124, Medford, NJ 08055-8772 | 2011-08-29 |
| 1720318512 | Louis A D'angelo, Dmd, PC | Dentist | 103 Old Marlton Pike, Suite 200, Medford, NJ 08055-8772 | 2009-12-30 |
| 1457581340 | Silen Balin | Dentist | 103 Old Marlton Pike, #200, Medford, NJ 08055-8772 | 2009-07-26 |
| 1275710592 | Donald C Gibson | Dentist | 103 Old Marlton Pike, Suite 200, Medford, NJ 08055-8772 | 2008-01-29 |
| 1942492723 | Janet L Parker | Nurse Practitioner | 103 Old Marlton Pike, Suite 211, Medford, NJ 08055-8772 | 2007-08-15 |
| 1528258274 | Jeffrey Pinto | Internal Medicine | 103 Old Marlton Pike, Suite 103, Medford, NJ 08055-8772 | 2007-07-30 |
| 1881721140 | Jeffrey M Doblin | Dentist | 103 Old Marlton Pike, Suite 200, Medford, NJ 08055 | 2007-02-27 |
| 1619019155 | Alfonse J Deluca | Dentist | 103 Old Marlton Pike, Suite 200, Medford, NJ 08055-8772 | 2007-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215406459 | Natalia Eltabaa | Nurse Practitioner | 143b Atsion Rd, Medford, NJ 08055 | 2018-11-16 |
| 1922574326 | Emily G Wilkins | Psychiatry & Neurology | 239 Taunton, A-2, Medford, NJ 08055 | 2018-10-23 |
| 1508348863 | Gerald D Mingin Jr. | Psychologist | 135 Eayrestown Rd. Suite A, Southampton, NJ 08055 | 2018-09-04 |
| 1316465750 | Gabriella Marie Francis | Specialist/Technologist | 133 Apache Trail, Medford Lakes, NJ 08055 | 2017-09-06 |
| 1265968572 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 609 Eugenia, Medford, NJ 08055 | 2017-05-05 |
| 1326574690 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1503 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1780110007 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1610 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1902332216 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1909 Cedar Dr, Medford, NJ 08055 | 2017-05-05 |
| 1083140396 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 503 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
| 1457887762 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 905 Eugenia Dr, Medford, NJ 08055 | 2017-05-05 |
| Find all providers in zip 08055 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205840170 | Jaleh A Cooney | Dentist | 92 High St #32b, Medford, MA 02155-3850 | 2006-07-28 |
| 1497748057 | Emory E Hamilton | Dentist | 2930 E Barnett Rd, Medford, OR 97504-8309 | 2005-08-29 |
| 1518372556 | John D Ferrin Dmd LLC | Dentist | 2930 E Barnett Rd, Medford, OR 97504-8309 | 2014-06-28 |
| 1386903441 | Insight Periodontics & Implant Dentistry, LLC | Dentist | 1601 E Mcandrews Rd, Suite B, Medford, OR 97504-5300 | 2012-05-10 |
| 1194093146 | John David Ferrin | Dentist | 2930 E Barnett Rd, Medford, OR 97504-8309 | 2011-12-06 |
| 1639347958 | Tetsuji Zenas Watari | Dentist | 2930 E Barnett Rd, Medford, OR 97504 | 2008-02-20 |
| 1184808743 | Medford Periodontal Associates, LLC | Dentist | 30 Jackson Rd, Suite A-5, Medford, NJ 08055-9283 | 2007-12-19 |
| 1871775403 | Chun-han Chou | Dentist | 1762 E Mcandrews Rd, Suite B, Medford, OR 97504-5577 | 2007-12-05 |
| 1194932954 | Emory E. Hamilton Dmd | Dentist | 2930 E Barnett Rd, Medford, OR 97504-8309 | 2007-05-17 |
| 1982811758 | Michael M Martin | Dentist | 2930 E Barnett Rd, Medford, OR 97504-8309 | 2007-05-17 |
| Find all providers in MEDFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.