YUNG KYUN KIM


Address: University of Connecticut Health Ctr, 263 Farmington Avenue, Farmington, CT 06030-0001
Phone: 8606794070

YUNG KYUN KIM (NPI# 1831394352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831394352
Entity Type Individual
Full Name YUNG KYUN KIM
Credential DDS
Practice Address University of Connecticut Health Ctr
263 Farmington Avenue
Farmington
CT 06030-0001
Mailing Address 6470 Cloverdale Blvd
Oakland Gardens
NY 11364-2721
Practice Telephone 8606794070
Mailing Telephone 9173759593
Enumeration Date 2007-06-15
Last Update Date 2013-01-24
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 122300000X Dentist 053348-1 NY Dental Providers
Y 1223P0300X Dentist
Specialization: Periodontics
010754 CT Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY LICENSE 053348-1 01
CT DENTAL LICENSE 010754 01

Office Location

Street Address UNIVERSITY OF CONNECTICUT HEALTH CTR
263 FARMINGTON AVENUE
City FARMINGTON
State CT
Zip Code 06030-0001

Providers in the same location

NPI Name Taxonomy Address Enumeration
1376540906 John Dale Nash Obstetrics & Gynecology University of Connecticut Health Ctr, 263 Farmington Avenue - Mc1614, Farmington, CT 06030-0001 2005-06-28
1417217431 Maryellin Flynn Registered Nurse University of Connecticut Health Ctr, Uconn Homecare Program - Office C1357, Farmington, CT 06030-2103 2012-05-23
1871878090 Jamie Kate Gooch Nurse Practitioner University of Connecticut Health Ctr, 263 Farmington Ave., Farmington, CT 06030-0001 2011-10-19
1851686257 Nisha Shankar Student in an Organized Health Care Education/Training Program University of Connecticut Health Ctr, Farmington, CT 06030-0001 2011-06-14
1700191947 Hermina Deepika Fernandes Student in an Organized Health Care Education/Training Program University of Connecticut Health Ctr, 263 Farmington Avenue, Farmington, CT 06030-0001 2010-08-12
1275853798 Victoria Odesina Nurse Practitioner University of Connecticut Health Ctr, 263 Farmington Avenue, Mc 6206, Farmington, CT 06030-0001 2010-06-07
1528264165 Christopher Michael Beus Dentist University of Connecticut Health Ctr, Endodontology, School of Dental Medicine, Farmington, CT 06030-0001 2007-06-21
1164588091 Michelle Kelley Nurse Practitioner University of Connecticut Health Ctr, 263 Farmington Avenue, Mc-1111, Farmington, CT 06030-0001 2006-12-28
1710924766 Dana R Crino Internal Medicine University of Connecticut Health Ctr, 263 Farmington Avenue, Farmington, CT 06030-0001 2006-05-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821617606 David Wozny Student in an Organized Health Care Education/Training Program General Medicine Clinic, Outpatient Pavillion-2 East, 263 Farmington Ave, Farmington, CT 06030 2020-04-13
1508495185 Zachary Boivin Student in an Organized Health Care Education/Training Program Emergency Medicine Office, 263 Farmington Ave, Farmington, CT 06030 2020-04-06
1063903730 Agura Afiari Student in an Organized Health Care Education/Training Program Uconn School of Medicine, 263 Farmington Avenue, Farmington, CT 06030 2018-05-29
1750879474 Areeba Siddiqui Student in an Organized Health Care Education/Training Program 263 Farmington Avenue Mc1921, Farmington, CT 06030 2018-04-27
1508362013 Arya Saniee I Student in an Organized Health Care Education/Training Program 264 Farmington Ave, Farmington, CT 06030 2018-04-03
1679828594 Randall Morera Student in an Organized Health Care Education/Training Program 262 Farmington Ave, Farmington, CT 06030 2012-07-17
1750644365 Ugonna Ijeoma Student in an Organized Health Care Education/Training Program 260 Farmington Ave, Farmington, CT 06030 2012-06-19
1407018419 Julia Marie Toto Plastic Surgery University Physicians, 263 Farmington Avenue, Farmington, CT 06030 2008-06-30
1851456495 Jeffrey Gross Anesthesiology 263 Farmington Avenue, Mc-2015, John Dempsey Hospital, Farmington, CT 06030 2006-12-26
1649225269 Julian Nieves Internal Medicine 263 Famrington Avenue, Farmington, CT 06030 2006-05-23
Find all providers in zip 06030

Taxonomy Information

Taxonomy Code 1223P0300X
Grouping Dental Providers
Classification Dentist
Specialization Periodontics

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851614002 Patricia I Diaz-moreno Dentist 263 Farmington Ave # Mc2820, Farmington, CT 06030-2820 2010-03-02
1427113976 Frank C. Nichols Dentist 263 Farmington Ave # Mc-3905, Uconn School of Dental Medicine, Farmington, CT 06030-0001 2006-12-26
1760863591 Katherine Calvert Grosso Dentist 291 Farmington Ave, Farmington, CT 06032-1925 2015-06-17
1760880355 Namita Khandelwal Dentist 263 Farmington Ave, Farmington, CT 06030-2656 2014-12-12
1871830745 A. Michael Brown Dentist 263 Farmington Ave, Farmington, CT 06030-0001 2013-01-11
1427367820 Jesse Michael Sorrentino Dentist 291 Farmington Ave, Farmington, CT 06032-1925 2010-10-02
1295995371 Takanori Sobue Dentist 263 Farmington Ave, Farmington, CT 06030-1710 2008-06-12
1366646432 Khalid Almas Dentist 263 Farmington Ave, University Dentists, Farmington, CT 06030-2820 2007-06-13
1790999761 Anna Dongari-bagtzoglou Dentist 263 Farmington Avenue, University Dentists, Farmington, CT 06030-2820 2007-05-09
1215149596 John A Bierly Dmd and Peter J Peterson Dmd, PC Dentist 291 Farmington Ave, Farmington, CT 06032-1925 2007-05-07
Find all providers in FARMINGTON

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City FARMINGTON
Zip Code 06030

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Dataset Information

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.

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