Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SUNG RAE KIM
Active Sole ProprietorSUNG RAE KIM is a Pediatric Dentistry healthcare provider located in CLOSTER, New Jersey. NPI 1679995955 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · CLOSTER, NJ
Registration Details
- NPI Number
- 1679995955
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 6, 2014 (12.600269730493 yrs)
- Last Updated
- Jan 6, 2014
- Licenses
-
DI19751 (NJ)22DI01975100 (NJ)047461-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
570 PIERMONT RDSUITE C1CLOSTER, NJ, 076243100Browse NJ providers · Browse ZIP 07624
- Phone
- 2016662828
- Fax
- 2017502314
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
- Additional Specialty
- Dentist
- Additional Specialty
- Dentist
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.