Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tommy L Kim DDS, II, PLLC

Organization General Practice Dentistry · NPI 1053859090

Tommy L Kim DDS, II, PLLC is a General Practice Dentistry in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2017.

Licensed in
NC
In the registry since
2017
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2400 S Blvd Ste 201
Charlotte, NC 28203-5159
Phone: (980) 819-1817
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence NC7145 (NC)

Record details

NPI number1053859090
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sarah Rogers — Office Manager · (980) 819-1817
Other names South Boulevard Dental
NPI enumeratedFebruary 10, 2017
Last updated in NPPESFebruary 10, 2017
Mailing address2400 South Blvd, Suite 201, Charlotte, NC 28203-5159

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