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

Individual provider General Practice Dentistry · NPI 1104174168

Dr. Elly Bunsun Kim, DDS is a General Practice Dentistry in Albuquerque, New Mexico. Licensed in New Mexico. Registered with an NPI since 2012.

Licensed in
NM
In the registry since
2012
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.

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Practice location Address checks out

4201 Central Ave NW
Albuquerque, NM 87105-1630
Phone: (505) 843-7172
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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 DD3755 (NM)

Record details

NPI number1104174168
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 24, 2012
Last updated in NPPESAugust 24, 2012

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