Whalio Doctors

NPI 1194283614

Scott Kim, DDS

Practitioner Oral and Maxillofacial Surgery (Dentist) Edgewater, NJ

Practice location

Address
45 Colony Rd, Edgewater, NJ 07020-1505
Phone
(301) 821-1106
Mailing address
8 Locksley Ave APT 8m, San Francisco, CA 94122-3850

Registered specialties (2)

Oral and Maxillofacial Surgery (Dentist) Primary
Dental Providers Taxonomy 1223S0112X Licence 22DI02829500 (NJ)
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X Licence 13678 (CT)

Registry record

NPI
1194283614
Entity type
Individual
Sex (as registered)
Male
NPI issued
4 Mar 2019
Record last updated
7 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.