Jihyun Kim
Individual provider Active NPI General Practice Dentistry · Epping, NH
NPI 1659925048 · NPPES record last updated Apr 10, 2023
Key facts
- NPI
- 1659925048
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 04507 (NH)
- Practice address
- 17 Fresh River Rd
Epping, NH 03042-2222 - Phone
- (617) 685-9668
- NPI assigned
- Jul 24, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04507 | NH | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 04507 | NH | |
| General Practice Dentistry | 1223G0001X | 04507 | NH | Yes |
Addresses
Primary practice location
17 Fresh River Rd
Epping, NH 03042-2222
Mailing address
3 Artisan Dr Unit 528
Salem, NH 03079-3191
Phone (617) 685-9668
Other providers in Epping, NH
- Jessica O'Connell Nutrition LLC
- John Richard Verploeg
- Jennifer Lynn Jones
- Tim Jordan
- Patricia Kezar
- Kim Kirby
- Sara Ann Kramer
- Simple Kumar
- Ashley C Lamb
- Danielle Rozanne Lambert
All providers in Epping, NH · General Practice Dentistry in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2023. 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.