Dana Kim, DMD, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DANA KIM, DMD, LLC

Doing business as

Tender Care Dentistry

Practice address

29795 Three Notch Rd
Charlotte Hall, MD 20622-4106

Phone

(301) 290-0001

Fax

(301) 290-5633

NPI assigned

Feb 9, 2018

Last updated

Feb 9, 2018By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Audra Keeler

Title

Office Manager

Phone

(301) 290-0001

Specialties & licenses 1

Addresses

Other names 1

• Tender Care Dentistry Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518134400000",
    "number": "1023517539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29795 THREE NOTCH RD",
            "city": "CHARLOTTE HALL",
            "state": "MD",
            "postal_code": "206224106",
            "telephone_number": "301-290-0001",
            "fax_number": "301-290-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29795 THREE NOTCH RD",
            "city": "CHARLOTTE HALL",
            "state": "MD",
            "postal_code": "206224106",
            "telephone_number": "301-290-0001",
            "fax_number": "301-290-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANA KIM, DMD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-09",
        "last_updated": "2018-02-09",
        "status": "A",
        "authorized_official_last_name": "KEELER",
        "authorized_official_first_name": "AUDRA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-290-0001"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tender Care Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in Charlotte Hall, MD
• Providers in Charlotte Hall, MD by specialty
• Dental Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.