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

Individual provider Dentist · NPI 1316434947

Soo-Keun Sean Kim, DMD, MD is an Oral Surgery in Purchase, New York. Qualified in 2021, 5 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
5
Licensed in
NY
In the registry since
2018
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2975 Westchester Ave Ste G02
Purchase, NY 10577-2500
Phone: (914) 251-0313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 31 Briarfield Dr, Great Neck, NY 11020-1409 — (516) 241-4454

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 064594 (NY)

Record details

NPI number1316434947
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD , MD
Sole proprietorNo
NPI enumeratedApril 19, 2018
Last updated in NPPESJune 10, 2025
Certification dateJune 10, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORAL SURGERY
Also practisesMAXILLOFACIAL SURGERY
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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