Clay Kim DDS MD LLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

CLAY KIM DDS MD LLC

Practice address

499 Idlewild Ave Unit 106
Easton, MD 21601-4049

Phone

(410) 443-0461

Fax

(410) 443-0461

NPI assigned

Aug 13, 2025

Organization subpart

No

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

Authorized official

Name

Clay Kim, DDSNPI 1942407812

Title

Owner Dentist

Phone

(410) 443-0461

Specialties & licenses 1

Addresses

Other names 1

• Eastern Maryland Oral and Maxillofacial Surgery Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clay Hakmin Kim, DDS, MD

  • Oral & Maxillofacial Surgery (D.M.D.)
  • Dunkirk, MD
  • NPI 1942407812

  Oral and Maxillofacial Surgery

  NPD Authorized official

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

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1124904339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "499 IDLEWILD AVE UNIT 106",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216014049",
            "telephone_number": "410-443-0461",
            "fax_number": "410-443-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 IDLEWILD AVE UNIT 106",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216014049",
            "telephone_number": "410-443-0461",
            "fax_number": "410-443-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAY KIM DDS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-13",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "CLAY",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "410-443-0461",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eastern Maryland Oral and Maxillofacial Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher J Cianci DC
• David Chanwook Chung, MD
• Shayna Pauline Church, LMSW
• Christopher Cianci, D.C.
• Julia Cianci, D.C.
• Elizabeth Smelter Clayton, MD
• Clearway Anesthesia Services NE LLC
• Clearway Surgery Center of Easton, LLC
• Pamela M Cleary, LCSW C
• Clinical Support Services, LLC

• Oral and Maxillofacial Surgery (Dentist) in Easton, MD
• Providers in Easton, MD by specialty
• Oral and Maxillofacial Surgery (Dentist) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.