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

Tae Keun Kim, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1417504614

Tae Keun Kim, DDS is a Student in an Organized Health Care Education/Training Program in Garwood, New Jersey. Works from 2 locations. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2019
Specialties on file
2
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.

See every abbreviation used in this directory →

Practice location Address checks out

450 S Ave Apt 342
Garwood, NJ 07027-1285
Phone: (213) 604-5723
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 111 E 210th St, Bronx, NY 10467-2401 — (347) 577-4950

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 22DI02888000 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1417504614
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 22, 2019
Last updated in NPPESAugust 15, 2022
Certification dateAugust 15, 2022

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