Yesle Kim DMD PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

YESLE KIM DMD PLLC

Practice address

4750 Township Line Rd FL 2
Drexel Hill, PA 19026-4221

Phone

(813) 453-7902

NPI assigned

Jun 7, 2024

Last updated

Jun 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Yesle Kim, DMDNPI 1649633538

Title

Owner

Phone

(813) 453-7902

Specialties & licenses 1

Addresses

Locations

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.

• Yesle Kim, D.M.D.

  • Dentist
  • Drexel Hill, PA
  • NPI 1649633538
  NPD Authorized official

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

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1306688726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 RUTGERS AVE UNIT 8",
            "city": "SWARTHMORE",
            "state": "PA",
            "postal_code": "190811758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4750 TOWNSHIP LINE RD FL 2",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190264221",
            "telephone_number": "813-453-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YESLE KIM DMD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YESLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-453-7902",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Xenakes, PHARM
• Christian Scott Yacono, MHS PAC
• Anju Yadav, DMD
• David Tyler Yarmark, DMD
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• Brenda Yeung, DMD
• Taneka Jay Young
• Tracey Young, DO
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• Jaclyn Grace Zaccaro, DMD

• Dentist in Drexel Hill, PA
• Providers in Drexel Hill, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; 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.