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

Prof. Phuong Kim DO, DDS

Individual provider Dentist · NPI 1700941218

Prof. Phuong Kim DO, DDS is a Dentist in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2006.

Licensed in
MN
In the registry since
2006
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

636 Broadway St NE
Minneapolis, MN 55413-2150
Phone: (612) 746-1530
Fax: (612) 746-1531
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence D10717 (MN)

Record details

NPI number1700941218
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedDecember 26, 2006
Last updated in NPPESJuly 8, 2007
Mailing address636 Broadway St Ne, Minneapolis, MN 55413-2150

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