OrganizationActive
Tommy L Kim DDS, II, PLLC
NPI 1053859090 · General Practice Dentistry · Charlotte, NC
Tommy L Kim DDS, II, PLLC is a General Practice Dentistry organization in Charlotte, NC (NPI 1053859090).
Provider details
- NPI number
- 1053859090
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Sarah Rogers, Office Manager(980) 819-1817
- License
- NC7145 (NC)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2400 South Blvd
Suite 201
Charlotte, NC 28203-5159
Phone: (980) 819-1817
Street-level locationGet directions
Mailing address
2400 South Blvd
Charlotte, NC 28203-5159
Other names (DBA / former)
- Doing business as
- South Boulevard Dental
Registry dates
- Enumerated
- 2017-02-10
- Last updated
- 2017-02-10
Frequently asked questions
- What is Tommy L Kim DDS, II, PLLC's NPI number?
- Tommy L Kim DDS, II, PLLC's National Provider Identifier (NPI) is 1053859090, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tommy L Kim DDS, II, PLLC?
- Tommy L Kim DDS, II, PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Tommy L Kim DDS, II, PLLC located?
- Tommy L Kim DDS, II, PLLC's practice location on file with NPPES is 2400 South Blvd, Charlotte, NC 28203-5159.
- What is Tommy L Kim DDS, II, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Tommy L Kim DDS, II, PLLC is (980) 819-1817.
- Who is the authorized official for Tommy L Kim DDS, II, PLLC?
- The authorized official listed on Tommy L Kim DDS, II, PLLC's NPPES record is Sarah Rogers, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tommy L Kim DDS, II, PLLC's NPI active?
- Yes — Tommy L Kim DDS, II, PLLC's NPI (1053859090) is active in the NPPES registry as of the last update on 2017-02-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.