DR. SEULLKI KIM (NPI# 1548580871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548580871 |
| Entity Type | Individual |
| Full Name | DR. SEULLKI KIM |
| Credential | D.M.D. |
| Practice Address |
385 Concord Ave Ste 100 Belmont MA 02478-3037 |
| Mailing Address |
100 Station Lndg Unit 1103 Medford MA 02155-5198 |
| Practice Telephone | 6174321474 |
| Mailing Telephone | 6463423951 |
| Enumeration Date | 2010-06-09 |
| Last Update Date | 2015-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | DN1855408 | MA | Dental Providers |
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
DN1855408 | MA | Dental Providers |
| Street Address |
385 CONCORD AVE STE 100 |
| City | BELMONT |
| State | MA |
| Zip Code | 02478-3037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184084691 | Belmont Prosthodontics | Dentist | 385 Concord Ave Ste 100, Belmont, MA 02478-3037 | 2016-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089924 | Emily Boyko | Physical Therapist | 413 Trapelo Rd, 2, Belmont, MA 02478 | 2020-10-01 |
| 1326695636 | Kristen Perrelli | Social Worker | 115 Mill Street Mail Stop 207, Belmont, MA 02478 | 2019-08-21 |
| 1265905210 | Deborah J Fenn | Social Worker | 88 Palfrey Rd, Belmont, MA 02478 | 2019-01-02 |
| 1922578855 | The Psych Garden LLC | Counselor | 25 Flanders Road, Belmont, MA 02478 | 2018-12-04 |
| 1083199855 | Wendi Goldberg | Social Worker | 1 15 Mill Street, Belmont, MA 02478 | 2018-09-27 |
| 1124514146 | Ann Polcari | Clinical Nurse Specialist | Service Building Mc Lean Hospital, 115 Mill Street, Belmont, MA 02478 | 2018-07-02 |
| 1245722701 | Jeremy Stewart | Psychologist | Mclean Hospital, 115 Mill Street, Mailstop 331, Belmont, MA 02478 | 2018-05-31 |
| 1295257848 | Stephanie Boyer | Psychologist | Mclean Hospital, 115 Mill St., Mail Stop 131, Belmont, MA 02478 | 2017-07-14 |
| 1497281893 | The Meraki Center for Therapeutic Arts | Community/Behavioral Health | 431 Trapelo Rd, Belmont, MA 02478 | 2017-05-04 |
| 1275908063 | Alex Jordan | Psychologist | 115 Mill Street, Mail Stop 217, Mclean Hospital, Belmont, MA 02478 | 2015-12-05 |
| Find all providers in zip 02478 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932437936 | Belmont Family Dentistry | Dentist | 75 Trapelo Rd, Belmont, MA 02478-4448 | 2009-12-02 |
| 1548437775 | Michael Paul Gold | Dentist | 66 Leonard St, Belmont, MA 02478-2512 | 2008-05-16 |
| 1871625061 | Rebecca Lea Perkins | Dentist | 75 Trapelo Rd, Belmont, MA 02478-4448 | 2007-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851035 | North Andover Dental Partners Pllc | Dentist | 451 Andover St Ste 208, North Andover, MA 01845-5070 | 2020-11-02 |
| 1699329797 | Jeffrey A. Harrison, Dmd, PC | Dentist | 258 Washington Street, Wellesley, MA 02481 | 2019-07-26 |
| 1104380526 | Sfrnsh LLC | Dentist | 209 Harvard St Ste 302, Brookline, MA 02446-5005 | 2019-01-30 |
| 1619446713 | Lexington Implant and Restorative Dentistry | Dentist | 803 Massachusetts Ave, Lexington, MA 02420-3918 | 2018-11-19 |
| 1154818359 | Lexington Smile Studio, PC | Dentist | 922 Waltham St Ste 202, Lexington, MA 02421-8019 | 2018-04-13 |
| 1184140139 | Georgetown Dental, P.C. | Dentist | 25 E Main St Ste 3, Georgetown, MA 01833-2007 | 2017-08-21 |
| 1922522747 | Prosthodontic Associates PC | Dentist | 50 Salem St., 3rd Floor, Lynnfield, MA 01940 | 2017-08-02 |
| 1952852063 | Thaisa Barizan Bordin | Dentist | 100 Morton St Apt 50, Boston, MA 02130-3754 | 2016-10-24 |
| 1326419524 | Brookline Dental Associates LLC | Dentist | 209 Harvard St Ste 502, Brookline, MA 02446-5005 | 2015-10-14 |
| 1316318686 | Outer Cape Dental Group, LLC | Dentist | 10 Cannon Hill Rd, South Wellfleet, MA 02663 | 2015-10-13 |
| Find all providers with the same taxonomy | ||||
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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.