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

Min Jung Kim

Individual provider Pediatric Dentistry · NPI 1083116156

Min Jung Kim is a Pediatric Dentistry in New York, New York. Practices as a sole proprietor. Licensed in New Jersey and New York.

Licensed in
NJ, NY
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

220 Madison Ave Ste A
New York, NY 10016-3422
Phone: (212) 880-2222
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 22DI02791400 (NJ)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 061567 (NY)

Record details

NPI number1083116156
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 5, 2018
Last updated in NPPESApril 4, 2022
Certification dateApril 4, 2022

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