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

Individual provider General Practice Dentistry · NPI 1295810554

Dr. Michael Ethan Kim, DMD is a General Practice Dentistry in Oakland Gardens, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
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

5322 Francis Lewis Blvd 2nd Fl
Oakland Gardens, NY 11364-1633
Phone: (201) 575-1153
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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 053099 (NY)

Record details

NPI number1295810554
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedOctober 26, 2006
Last updated in NPPESJuly 8, 2007

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