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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JI WON KIM

Active Sole Proprietor

JI WON KIM is a Dentist healthcare provider located in SPRINGFIELD, Massachusetts. NPI 1164004206 is currently active in the NPPES registry. Verify at CMS.

Dentist · SPRINGFIELD, MA

Registration Details

NPI Number
1164004206
Provider Type
Individual
Gender
Female
NPI Issued
Apr 27, 2021 (5.2713304161195 yrs)
Last Updated
Jul 21, 2021
License
DN1859098 (MA)
Sole Proprietor
Yes

Practice Information

Address
555 STATE ST
SPRINGFIELD, MA, 011094140
Browse MA providers · Browse ZIP 01109
Phone
3127680965
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist

Other Dentist Providers in SPRINGFIELD, MA

Name Credential NPI
DR. ANTHONY E BREGLIO SR. DMD 1366427148
LESLIE ZIDE DMD 1154306934
LAURA GRAMSE 1184795908
ROBERT LOUIS KIRSTEIN DMD 1427115062
DR. MATTHEW KATZ D.M.D. 1083738413
DR. JOHN WILLIAM KOTARSKI D.D.S. 1215159413
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.