Ykim Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

YKIM DENTAL

Practice address

2680 Optiz Blvd.
Suite 120
Woodbridge, VA 22192

Phone

(703) 801-6991

NPI assigned

Oct 11, 2018

Organization subpart

No

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

Authorized official

Name

Yonghyun Kim, D.M.D.

Title

President/Director

Phone

(703) 801-6991

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539216000000",
    "number": "1104391614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11410 ALESSI DR",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "20112",
            "telephone_number": "703-801-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 OPTIZ BLVD.",
            "address_2": "SUITE 120",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "22192",
            "telephone_number": "703-801-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YKIM DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-11",
        "last_updated": "2018-10-11",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YONGHYUN",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "703-801-6991",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Megan Yannessa
• George Matthew Yasenosky, PT, DPT
• Mohammad-Ali Yazdani Abyaneh
• Kambiz Yazdani, M.D.
• Jisun Yi, MD
• Yogi Dental PLLC
• Young-a Yoo, DDS
• Hong Bi Yoon, M.D.
• Jung Whan Yoon
• Wintana B. Yosief, CRNA

• General Practice Dentistry in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.