IndividualActive
John Kim, DDS
NPI 1629089198 · Periodontics · Rocky Mount, NC
Provider details
- NPI number
- 1629089198
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 7839 (NC)
Specialties & taxonomies
Dental Providers
Practice location
400 Peachtree Street
Rocky Mount, NC 27804
Phone: (252) 446-0400
Fax: (252) 977-2341
Approximate (ZIP-level) locationGet directions
Mailing address
400 Peachtree Street
Rocky Mount, NC 27804
Registry dates
- Enumerated
- 2006-08-10
- 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.