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

Dr. Matthew M Kim, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1700563434

Dr. Matthew M Kim, DMD is a Student in an Organized Health Care Education/Training Program in Southport, North Carolina. Licensed in North Carolina. Registered with an NPI since 2023.

Licensed in
NC
In the registry since
2023
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

621A N Fodale Ave
Southport, NC 28461-3550
Phone: (908) 307-1903
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 14596 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1700563434
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 4, 2023
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026

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