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

Dr. Jung-Wan Martin Kim, BSC, DMD

Individual provider Dentist · NPI 1568624815

Dr. Jung-Wan Martin Kim, BSC, DMD is a Dentist in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2008.

Licensed in
MN
In the registry since
2008
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

515 Delaware Street SE 7-360 Moos Health Science Tower
Minneapolis, MN 55455
Phone: (612) 625-6177
Fax: (612) 626-2652
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D12492 (MN)

Record details

NPI number1568624815
Entity typeIndividual (Type 1)
GenderMale
Credentials BSC , DMD
Sole proprietorNo
NPI enumeratedJune 27, 2008
Last updated in NPPESJune 27, 2008

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