IndividualActive
Taegyoon Kim, DMD
NPI 1013777119 · Prosthodontics · Boston, MA
Taegyoon Kim, DMD is a Prosthodontics provider in Boston, MA (NPI 1013777119).
Provider details
- NPI number
- 1013777119
- Entity type
- Individual
- Primary specialty
- ProsthodonticsDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- DL15899 (MA)
Practice location
635 Albany St
Boston, MA 02118-3550
Phone: (617) 358-8300
Street-level locationGet directions
Mailing address
635 Albany St
Boston, MA 02118-3550
Registry dates
- Enumerated
- 2024-03-19
- Last updated
- 2024-03-19
- Certified
- 2024-03-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.