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

Dr. Diana Kim, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1578295556

Dr. Diana Kim, DDS is a Student in an Organized Health Care Education/Training Program in Mohegan Lake, New York. Practices as a sole proprietor and works from 2 locations. Licensed in New York.

Licensed in
NY
In the registry since
2022
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

3130 E Main St Ste 200
Mohegan Lake, NY 10547-1517
Phone: (845) 284-6296
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3900 Woodland Ave Fl 3, Philadelphia, PA 19104-4551 — (215) 823-5800

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 063195 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1578295556
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 28, 2022
Last updated in NPPESAugust 4, 2023
Certification dateAugust 4, 2023
Mailing address3753 Mermaid Ave Apt 2, Brooklyn, NY 11224-1274

Other providers in Mohegan Lake