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

Dr. Moochan Kim, DDS

Individual provider Dentist · NPI 1992359954

Dr. Moochan Kim, DDS is a Dentist in Wake Forest, North Carolina. Works from 2 locations. Licensed in Illinois, North Carolina, New Jersey and New York.

Licensed in
IL, NC, NJ, NY
In the registry since
2019
Specialties on file
4
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

610 Dr Calvin Jones Hwy Ste 100
Wake Forest, NC 27587-3104
Phone: (919) 336-5230
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 875 Walnut St Ste 200, Cary, NC 27511-4215 — (919) 467-8227

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence 13969 (NC)
Dentist Taxonomy 122300000X · Licence 22DI02925300 (NJ)
Dentist Taxonomy 122300000X · Licence 019.032304 (IL)
Dentist Taxonomy 122300000X · Licence 062241 (NY)

Record details

NPI number1992359954
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 29, 2019
Last updated in NPPESSeptember 3, 2024
Certification dateSeptember 3, 2024
Mailing address4701 Violet Fields Way Unit 218, Raleigh, NC 27612-5660

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