Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DONG WON KIM, D.M.D.
Deactivated Sole ProprietorDR. DONG WON KIM, D.M.D. is a Dentist healthcare provider located in LOWELL, Massachusetts. NPI 1679694293 is deactivated in the NPPES registry. Verify at CMS.
Dentist · LOWELL, MA
This NPI has been deactivated.
The record was deactivated on November 7, 2019.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1679694293
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 2, 2007 (12.598360655738 yrs)
- Last Updated
- Jan 26, 2023
- Deactivated
- Nov 7, 2019
- License
-
21536 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
133 MARKET STLOWELL, MA, 018521808Browse MA providers · Browse ZIP 01852
- Phone
- 9784581179
- Fax
- 9788051415
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in LOWELL, MA
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL R BUCHLER | DMD | 1174511364 |
| EDUARD PEYSAKHOV | DMD | 1265461107 |
| DR. LARISA TURKENICH | DMD | 1912927427 |
| DR. MARISA D RAMOS | DMD | 1235147141 |
| DR. MAJED JARADEH | DMD PC | 1093930869 |
| SIMON RAJAN | D.D.S | 1700073400 |
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.