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

Dr. Taewan John Kim, DDS

Individual provider Dentist · NPI 1083264436

Dr. Taewan John Kim, DDS is a Dentist in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2019
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

240 S 40th St
Philadelphia, PA 19104-6030
Phone: (404) 372-4882
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DS041978 (PA)

Record details

NPI number1083264436
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedSeptember 18, 2019
Last updated in NPPESSeptember 18, 2019

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