Jeffrey Sungjoon Kim, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901602387 Issued in MI

Practice address

2725 S Milford Rd
Highland, MI 48357-4945

Phone

(248) 685-7273

NPI assigned

Jun 16, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• James W Willis IX DDS PLC

  • Dentist
  • Weyers Cave, VA
  • NPI 1578270872
  NPD

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

{
    "created_epoch": "1686873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1124703285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 NIXON RD UNIT 320",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481052450",
            "telephone_number": "703-635-6825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 S MILFORD RD",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "483574945",
            "telephone_number": "248-685-7273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "81 Franklin St",
            "address_purpose": "LOCATION",
            "city": "Weyers Cave",
            "state": "VA",
            "postal_code": "244862341",
            "country_code": "US",
            "telephone_number": "540-902-0205",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20011 Ballinger Way NE Ste B-100",
            "address_purpose": "LOCATION",
            "city": "Shoreline",
            "state": "WA",
            "postal_code": "981551286",
            "country_code": "US",
            "telephone_number": "206-946-6471",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8855 Glenridge Ct",
            "address_purpose": "LOCATION",
            "city": "Vienna",
            "state": "VA",
            "postal_code": "221821708",
            "country_code": "US",
            "telephone_number": "703-635-6825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIM",
        "first_name": "JEFFREY",
        "middle_name": "SUNGJOON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-06-16",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "70066666",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401418518",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901602387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kristen N Moore LMSW PLLC

• All providers in Highland, MI
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.