NPI 1881439016 · live from the CMS NPI Registry
Ji In Kim, D.D.S., Professional Corporation
Dentist, General Practice in North Las Vegas, NV. National Provider Identifier 1881439016, active.
NPI record
| NPI | 1881439016 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 150 E Centennial Pkwy Ste 113, North Las Vegas, NV 89084 |
| Practice phone | 702-642-1386 |
| Enumerated | June 28, 2024 |
| Last updated | June 28, 2024 |
| Authorized official | Ji Kim, Owner |
| Other names | Dynamic Dental |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | — |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | — |
| Dental Hygienist | 124Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.