IndividualActive
Juan Kim, DDS
NPI 1356717987 · Oral and Maxillofacial Surgery (Dentist) · Kansas City, MO
Provider details
- NPI number
- 1356717987
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- D10311 (OR)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Practice location
2101 Charlotte St Ste 310
Kansas City, MO 64108-2727
Phone: (816) 404-0500
Approximate (ZIP-level) locationGet directions
Mailing address
2101 Charlotte St Ste 310
Kansas City, MO 64108-2727
Registry dates
- Enumerated
- 2015-08-18
- Last updated
- 2024-12-10
- Certified
- 2024-12-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.