Timothy Kim &Thomas Kim, DDS, PC
Organization Active NPI General Practice Dentistry · Centreville, VA
NPI 1497066229 · NPPES record last updated Jun 25, 2010
Key facts
- NPI
- 1497066229
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 0401410634 (VA)
- Legal business name
- TIMOTHY KIM &THOMAS KIM, DDS, PC
- Practice address
- 5900 Fort Dr Ste 209
Centreville, VA 20121-2425 - Phone
- (703) 378-5777
- Fax
- (703) 378-5776
- NPI assigned
- Jun 25, 2010
- Organization subpart
- No
Authorized official
- Name
- Dr. Thomas S Kim, DDS
- Title
- Vice President
- Phone
- (703) 378-5777
Practitioners 1
-
Thomas S. Kim, D.D.S.
National Provider Directory
Locations
5900 Fort Dr
Ste 209
Centreville, VA 20121
Phone (703) 378-5777
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 0401410634 | VA | Yes |
| General Practice Dentistry |
1223G0001X | 0401410757 | VA |
Addresses
Primary practice location
5900 Fort Dr Ste 209
Centreville, VA 20121-2425
Mailing address
5900 Fort Dr Ste 209
Centreville, VA 20121-2425
Phone (703) 378-5777
Other providers in Centreville, VA
- Jasser Thiara
- Judith A Thomas
- Katelyn Michelle Thompson
- Bessie Thorne
- Rena Thuman
- Tiny Pearls Pediatric Dentistry PLLC
- Toshiki Matsui, D.D.S., P.C.
- Total Dental Arts, LLC
- Town Center Orthopaedic Associates PC
- Tricia T. Tran
All providers in Centreville, VA · General Practice Dentistry in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2010. 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.