DR. JUNG B KIM (NPI# 1174612626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174612626 |
| Entity Type | Individual |
| Full Name | DR. JUNG B KIM |
| Credential | DMD |
| Practice Address |
1815 W 13th Street Suite 7 Wilmington DE 19806 |
| Mailing Address |
1815 W 13th Street Suite 7 Wilmington DE 19806-4054 |
| Practice Telephone | 3026523556 |
| Practice Fax Number | 3026548088 |
| Mailing Telephone | 3026523556 |
| Mailing Fax Number | 3026548088 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223E0200X |
Dentist Specialization: Endodontics |
1049 | DE | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNITED CONCORDIA | 263203 | 01 | |
| DE | 0001186808 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083136659 | Jung E Kim | Speech-Language Pathologist | 37 Summit Ave, Metuchen, NJ 08840 | 2017-07-14 |
| 1215307095 | Jung O. Kim IIi | Nurse Practitioner | 23247 Mcbean Parkway, Valencia, CA 91355 | 2015-10-06 |
| 1528323714 | Jung Kim | Dietitian, Registered | 540 Ashbourne Rd, Cheltenham, PA 19012-1702 | 2012-07-12 |
| 1902163090 | Jung Kyung Kim | Acupuncturist | 2049 P C H Ste 107, Lomita, CA 90717-2661 | 2012-04-13 |
| 1174818496 | Jung H Kim | Dentist | 309a Broad Ave, Palisades Park, NJ 07650-1620 | 2011-06-15 |
| 1104145226 | Jung Il Kim | Acupuncturist | 2315 Marks Dr, Tustin, CA 92782-1500 | 2010-05-28 |
| 1255662896 | Jung S Kim | Acupuncturist | 26 Bellinger Ct., Reisterstown, MD 21136 | 2010-01-21 |
| 1396910733 | Jung Min Kim | Dentist | 4233 Rosewood Dr, 11, Pleasanton, CA 94588 | 2008-04-28 |
| 1134311699 | Jung Hee Kim | Acupuncturist | 2650 W Temple St, Los Angeles, CA 90026-4822 | 2007-08-17 |
| 1235320037 | Jung Sook Kim | Acupuncturist | 7230 Medical Center Dr Ste 400, West Hills, CA 91307-4013 | 2007-08-06 |
| Street Address |
1815 W 13TH STREET SUITE 7 |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083717094 | Kreshtool & Kim Endodontics Pa | Dentist | 1815 W 13th Street, Suite #7, Wilmington, DE 19806-4054 | 2006-09-06 |
| 1487757464 | Daniel R Kreshtool | Dentist | 1815 W 13th Street, Suite 7, Wilmington, DE 19806 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497278899 | Gokulawathani Maheswaran | Physical Therapist | Regency Healthcare and Rehabilitation Center, 801, North Broom Street, Wilmington, DE 19806 | 2017-07-18 |
| 1588013213 | Wilmington Internal Medicine, LLC | Clinic/Center | 1016 Delaware Avenue, Wilmington, DE 19806 | 2016-06-03 |
| 1659694511 | Paul A. Sica Jr. | Dermatology | 2300 Pennsylvania Ave., #3c, Wilmington, DE 19806 | 2010-03-08 |
| 1598992448 | Delaware Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 1005 Delaware Avenue, Wilmington, DE 19806 | 2009-06-18 |
| 1144474750 | Delaware Chiropractic At Trolley Square | Chiropractor | 26b Trolley Square, Wilmington, DE 19806 | 2008-11-10 |
| 1780856070 | Medical Massage of Delaware | Point of Service | 2309 W 17th, Wilmington, DE 19806 | 2008-03-27 |
| 1548444755 | Ellen Louise Gay | Psychologist | 1311 N. Rodney St., Wilmington, DE 19806 | 2007-12-24 |
| 1073797643 | Melissa Erin Gregory | Counselor | 1213 Delaware Avenue, Wilmington, DE 19806 | 2007-12-19 |
| 1194922609 | Kymberly M Alvarado | Social Worker | 1213 Deleware Ave, Wilmington, DE 19806 | 2007-06-28 |
| 1083836605 | Counseling Services Inc | Community/Behavioral Health | 18 C Trolley Square, Wilmington, DE 19806 | 2007-05-03 |
| Find all providers in zip 19806 | ||||
| Taxonomy Code | 1223E0200X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Endodontics |
| The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689120438 | Travis Moore | Dentist | 2210 Wrightsville Ave Ste 5, Wilmington, NC 28403-2575 | 2016-08-31 |
| 1114158292 | Mariam Kamel Labib- Soliman | Dentist | 2036 Foulk Rd Ste 203, Wilmington, DE 19810-3650 | 2009-08-06 |
| 1093922106 | W. Christopher Ward | Dentist | 6329 Oleander Dr, Suite 100, Wilmington, NC 28403-3569 | 2007-05-17 |
| 1750434585 | Wade Christopher Ward | Dentist | 1117 Medical Center Dr, Wilmington, NC 28401-7304 | 2007-01-18 |
| 1285790386 | Achara D O'brien | Dentist | 2601 Iron Gate Dr, Ste 204, Wilmington, NC 28412-6625 | 2006-12-31 |
| 1811080393 | John Patrick Crisp | Dentist | 2210 Wrightsville Avenue, Suite 5, Wilmington, NC 28403 | 2006-10-02 |
| 1083717094 | Kreshtool & Kim Endodontics Pa | Dentist | 1815 W 13th Street, Suite #7, Wilmington, DE 19806-4054 | 2006-09-06 |
| 1508876574 | Timothy Hall Mihle | Dentist | 1604 Physicians Dr Ste 101, Wilmington, NC 28401-7349 | 2006-08-09 |
| 1598742553 | John P. Crisp, Dds, Pllc | Dentist | 2210 Wrightsville Ave, Suite 5, Wilmington, NC 28403-2406 | 2005-12-29 |
| 1093367435 | Travis R. Moore, D.m.d., P.l.l.c. | Dentist | 2210 Wrightsville Ave Ste 5, Wilmington, NC 28403-2575 | 2019-07-16 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19806 |
Please comment or provide details below to improve the information on DR. JUNG B KIM.
| 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.