IndividualActive
Jinsoo Kim, DDS
NPI 1316019995 · Dental Anesthesiology · Richardson, TX
Provider details
- NPI number
- 1316019995
- Entity type
- Individual
- Primary specialty
- Dental AnesthesiologyDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 10618 (WA)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
4112 E Renner Rd
Richardson, TX 75082-2832
Phone: (972) 480-0800
Fax: (972) 480-0900
Approximate (ZIP-level) locationGet directions
Mailing address
7505 Vineyard Trl
Garland, TX 75044-2105
Registry dates
- Enumerated
- 2006-11-15
- Last updated
- 2016-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.