Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PETER J. KIM, DDS
Active Sole ProprietorDR. PETER J. KIM, DDS is a General Dentistry healthcare provider located in NEW SQUARE, New York. NPI 1417353400 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · NEW SQUARE, NY
Registration Details
- NPI Number
- 1417353400
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 18, 2014 (11.754816091541 yrs)
- Last Updated
- Feb 21, 2018
- License
-
058142 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
728 N MAIN STNEW SQUARE, NY, 109778916Browse NY providers · Browse ZIP 10977
- Phone
- 8453549300
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in NEW SQUARE, NY
| Name | Credential | NPI |
|---|---|---|
| EDWARD RUDOLPH | — | 1457649824 |
| RACHEL SNYDER | DDS | 1922449123 |
| MOSHE KLEIN | — | 1831661453 |
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.