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Jung-Wan Martin Kim, BSC, DMD
NPI 1568624815 · Dentist · Minneapolis, MN
Jung-Wan Martin Kim, BSC, DMD is a Dentist provider in Minneapolis, MN (NPI 1568624815).
Provider details
- NPI number
- 1568624815
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- BSC, DMD
- Sex
- Male
- Sole proprietor
- No
- License
- D12492 (MN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
515 Delaware Street Se
7-360 Moos Health Science Tower
Minneapolis, MN 55455
Phone: (612) 625-6177
Fax: (612) 626-2652
Street-level locationGet directions
Mailing address
515 Delaware Street Se
Minneapolis, MN 55455
Registry dates
- Enumerated
- 2008-06-27
- Last updated
- 2008-06-27
Frequently asked questions
- What is Jung-Wan Martin Kim's NPI number?
- Jung-Wan Martin Kim's National Provider Identifier (NPI) is 1568624815, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jung-Wan Martin Kim's specialty?
- Jung-Wan Martin Kim is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Jung-Wan Martin Kim located?
- Jung-Wan Martin Kim's practice location on file with NPPES is 515 Delaware Street Se, Minneapolis, MN 55455.
- What is Jung-Wan Martin Kim's phone number?
- The practice phone number listed in the NPPES registry for Jung-Wan Martin Kim is (612) 625-6177.
- Is Jung-Wan Martin Kim's NPI active?
- Yes — Jung-Wan Martin Kim's NPI (1568624815) is active in the NPPES registry as of the last update on 2008-06-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.