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

John D Kim, DMD

Individual provider Dentist · NPI 1720531403

John D Kim, DMD is a Dentist in Tyler, Texas. Licensed in Illinois and Texas. Registered with an NPI since 2016.

Licensed in
IL, TX
In the registry since
2016
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

110 E 9th St
Tyler, TX 75701-4227
Phone: (903) 991-4991
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 38650 (TX)
Dentist Taxonomy 122300000X · Licence 319.020174 (IL)

Record details

NPI number1720531403
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 28, 2016
Last updated in NPPESApril 8, 2023
Certification dateApril 8, 2023
Mailing address523 S Fannin Ave, Tyler, TX 75702-8204

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