Organization Active NPI

Dear Dental PC

  • Dental Clinic/Center
  • New Providence, NJ
National Provider Identifier
1174304216
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DEAR DENTAL PC
Practice address
890 Mountain Ave Ste 310
New Providence, NJ 07974-1240
Phone
(551) 222-0072
NPI assigned
Oct 12, 2023
Last updated
Oct 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Authorized official

Name
Bokhung Kim, DMDNPI 1275973901
Title
Owner
Phone
(267) 884-2419

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

890 Mountain Ave Ste 310
New Providence, NJ 07974-1240

Mailing address

110 Livingston St Apt 7N
Brooklyn, NY 11201-5061

National Provider Directory

National Provider Directory

Locations

890 Mountain Ave
Ste 310
New Providence, NJ 07974
Phone (551) 222-0072

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1697068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1174304216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 LIVINGSTON ST APT 7N",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 MOUNTAIN AVE STE 310",
            "city": "NEW PROVIDENCE",
            "state": "NJ",
            "postal_code": "079741240",
            "telephone_number": "551-222-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEAR DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-12",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "BOKHUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-884-2419",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Providence, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.