Young S Kim, DDS, PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

018008 Issued in MI

Legal business name

YOUNG S KIM, DDS, PC

Practice address

35836 W Michigan Ave
Wayne, MI 48184-1631

Phone

(734) 728-9300

Fax

(734) 728-4200

NPI assigned

Dec 7, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Young Sok Kim, D.D.S.

Title

President

Phone

(734) 728-9300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952460768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35836 W MICHIGAN AVE",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841631",
            "telephone_number": "734-728-9300",
            "fax_number": "734-728-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35836 W MICHIGAN AVE",
            "city": "WAYNE",
            "state": "MI",
            "postal_code": "481841631",
            "telephone_number": "734-728-9300",
            "fax_number": "734-728-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG S KIM, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_middle_name": "SOK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "734-728-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "018008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4268006",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawn Wozniak
• Suraya Wright
• Sarah Wurster, BSW, LLBSW
• Edith Wysocki
• Nicholus H Yee, M.D.
• Nisha Kapoor Yusaf, DDS
• Urte Zableckas, MBBS
• Jennifer Zahler
• Zachary Zajac, DO
• Allyson Zick

• General Practice Dentistry in Wayne, MI
• Providers in Wayne, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.