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

Individual provider Dentist · NPI 1053661207

Jiyoon Kim, DMD is a Dentist in New York, New York. Practices as a sole proprietor. Licensed in New York and Texas.

Licensed in
NY, TX
In the registry since
2012
Specialties on file
2
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

230 W 41st St Fl 2
New York, NY 10036-7207
Phone: (516) 407-9561
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 057710 (NY)
Dentist Taxonomy 122300000X · Licence 28381 (TX)

Record details

NPI number1053661207
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedSeptember 14, 2012
Last updated in NPPESFebruary 10, 2022
Certification dateFebruary 10, 2022

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