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Dr. Su Jin Kim

Pediatric Dentist

2029 Suffolk Rd Ste B
Finksburg , Maryland 21048-1630

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Dr. Su Jin Kim

Pediatric Dentist

2029 Suffolk Rd Ste B
Finksburg , Maryland 21048-1630

Write a Review Save Call

Dr. Su Jin Kim

Pediatric Dentist

2029 Suffolk Rd Ste B
Finksburg , Maryland 21048-1630

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Pediatric Dentist

Languages spoken

  • English

Location

2029 Suffolk Rd Ste B Finksburg , Maryland 21048-1630

First Address

  • Dr. Su Jin Kim
  • 650 W Baltimore St
  • Baltimore, MD
  • Zip : 21201-1510
  • Phone :

Second Address

  • Dr. Su Jin Kim
  • 2029 Suffolk Rd Ste B
  • Finksburg, MD
  • Zip : 21048-1630
  • Phone : (410) 861-3001

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FAQs


Where did Dr. Su Jin Kim attend graduate school?

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Where did Dr. Su Jin Kim do her residency?

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Where did Dr. Su Jin Kim do her fellowship?

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Is Dr. Su Jin Kim board certified?

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What type of doctor is Dr. Su Jin Kim

Pediatric Dentist

In what state does Dr. Su Jin Kim practice in?

Maryland

Where is Dr. Su Jin Kim ’s practice located?

2029 Suffolk Rd Ste B , Finksburg, Maryland, 21048-1630

What is Dr. Su Jin Kim ’s gender?

Female

Is Dr. Su Jin Kim a sole practitioner?

No

Is Dr. Su Jin Kim accepting new patients?

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What languages does Dr. Su Jin Kim speak?

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Does Dr. Su Jin Kim accept insurance?

Yes, Dr. Su Jin Kim accepts insurance

Does Dr. Su Jin Kim offers telemedicine?

Dr. Su Jin Kim has not indicated if she offers telemedicine

What is Dr. Su Jin Kim ’s professional license number?

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What is Dr. Su Jin Kim ’s NPI number?

1093169344

Does Dr. Su Jin Kim have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 1223P0221X Pediatric Dentist 16647 MD

National Provider Identifier

NPI 1093169344
Provider Name Dr. Su Jin Kim
First Address Baltimore, MD 21201-1510
Second Address Finksburg, MD 21048-1630
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 22/04/2016
Last Update Date 26/02/2020

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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