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

Siwoo Kim

Individual provider Dentist · NPI 1558112151

Siwoo Kim is a Dentist in Gaithersburg, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

10201 Washingtonian Blvd Apt 514
Gaithersburg, MD 20878-8310
Phone: (443) 996-0507
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 18849 (MD)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1558112151
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 1, 2024
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025
Mailing address5 Cabot Rd Unit 338, Medford, MA 02155-5295

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