East End Dental Wellness PC
Organization Active NPI Dental Clinic/Center · South Easton, MA
NPI 1154723443 · NPPES record last updated Aug 29, 2022
Key facts
- NPI
- 1154723443
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- License
- DN1855295 (MA)
- Legal business name
- EAST END DENTAL WELLNESS PC
- Practice address
- 165 Belmont St Ste a
South Easton, MA 02375-1952 - Phone
- (508) 230-0048
- NPI assigned
- Sep 18, 2014
- Organization subpart
- No
Authorized official
- Name
- Dr. Yoon Jae Kim, DMD
- Title
- President
- Phone
- (617) 955-9887
Practitioners 2
-
Yoon Jae Kim, D.M.D
-
Joseph A Nash, DMD
National Provider Directory
Locations
165 Belmont St
Ste A
South Easton, MA 02375
Phone (508) 230-0048
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | DN1855295 | MA | Yes |
Addresses
Primary practice location
165 Belmont St Ste a
South Easton, MA 02375-1952
Mailing address
165 Belmont St Ste a
South Easton, MA 02375-1952
Phone (508) 230-0048
Other providers in South Easton, MA
- Sara Dawn Disalvo
- James Philip Douglas-Steele
- Desmond Doyle-Perkins
- Danielle L. Doyle
- Dr. Jeff Drayer, LLC
- Eastern Dental Specialist
- Easton Chiropractic, PC
- Easton Dental PC
- Easton Dental Speccialists
- Easton Dental Specialists GPS PLLC
All providers in South Easton, MA · Dental Clinic/Center in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.