Susan J Kim DMD LLC

Primary specialty

DentistTaxonomy code 122300000X

License

DS028913L Issued in PA

Legal business name

SUSAN J KIM DMD LLC

Practice address

538 E Lincoln Hwy
Floor 1
Coatesville, PA 19320-3414

Phone

(610) 384-5349

NPI assigned

Oct 4, 2016

Organization subpart

No

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

Authorized official

Name

Susan Kim-Morris

Title

Partner

Phone

(610) 384-5349

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475539200000",
    "number": "1457801334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 E LINCOLN HWY",
            "address_2": "FLOOR 1",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193203414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 E LINCOLN HWY",
            "address_2": "FLOOR 1",
            "city": "COATESVILLE",
            "state": "PA",
            "postal_code": "193203414",
            "telephone_number": "610-384-5349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUSAN J KIM DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-04",
        "last_updated": "2016-10-04",
        "status": "A",
        "authorized_official_last_name": "KIM-MORRIS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "610-384-5349"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": "DS028913L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Coatesville, PA
• Providers in Coatesville, PA by specialty
• Dentist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2016; 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.