Whalio Doctors

NPI 1699039792

John Minkyu Kim, DDS

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Ann Arbor, MI

Practice location

Address
1500 E Medical Center Dr, Ann Arbor, MI 48109-5000
Phone
(734) 936-4000
Mailing address
3621 S State St, Ann Arbor, MI 48108-1633

Registered specialties (4)

Oral & Maxillofacial Surgery (D.M.D.) Primary
Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence 2901601571 (MI)
Dentist
Dental Providers Taxonomy 122300000X Licence DT 2474 (HI)
Oral and Maxillofacial Surgery (Dentist)
Dental Providers Taxonomy 1223S0112X Licence DT-2474 (HI)
Pharmacist
Pharmacy Service Providers Taxonomy 183500000X Licence PH 2612 (HI)

Registry record

NPI
1699039792
Entity type
Individual
Sex (as registered)
Male
NPI issued
3 Jul 2012
Record last updated
2 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.