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

DR. MOOCHAN KIM, DDS

Active

DR. MOOCHAN KIM, DDS is a Endodontics healthcare provider located in WAKE FOREST, North Carolina. NPI 1992359954 is currently active in the NPPES registry. Verify at CMS.

Endodontics · WAKE FOREST, NC

Registration Details

NPI Number
1992359954
Provider Type
Individual
Gender
Male
NPI Issued
Jul 29, 2019 (7.0629764836888 yrs)
Last Updated
Sep 3, 2024
Licenses
22DI02925300 (NJ)
019.032304 (IL)
062241 (NY)
13969 (NC)

Practice Information

Address
610 DR CALVIN JONES HWY STE 100
WAKE FOREST, NC, 275873104
Browse NC providers · Browse ZIP 27587
Phone
9193365230
Primary Specialty
Endodontics
1223E0200X
Additional Specialty
Dentist
Additional Specialty
Dentist
Additional Specialty
Endodontics

Other Endodontics Providers in WAKE FOREST, NC

Name Credential NPI
DR. JAKE REYNOLDS DMD, MSD 1225019979
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.