IndividualActive
Andrew Kim, D.M.D.
NPI 1124182357 · Pediatric Dentistry · Hazelwood, MO
Provider details
- NPI number
- 1124182357
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- D.M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 14274 (MO)
Specialties & taxonomies
Dental Providers
Practice location
6309 Hazelwest Ct
Hazelwood, MO 63042-1739
Phone: (314) 731-1688
Fax: (314) 731-7938
Approximate (ZIP-level) locationGet directions
Mailing address
6309 Hazelwest Ct
Hazelwood, MO 63042-1739
Registry dates
- Enumerated
- 2006-12-21
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.