IndividualActive
John Kim, DDS
NPI 1699039792 · Oral & Maxillofacial Surgery (D.M.D.) · Ann Arbor, MI
Provider details
- NPI number
- 1699039792
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- DT 2474 (HI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Dental Providers
Dental Providers
Pharmacy Service Providers
Practice location
1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Phone: (734) 936-4000
Approximate (ZIP-level) locationGet directions
Mailing address
3621 S State St
Ann Arbor, MI 48108-1633
Additional practice locations (2)
- 618th Dental Co. Usag Humphreys, Carius Dental ClinicUnit # 15660, Bldg # P3020Apo, AP 96271-5660Phone: (808) 295-8453
- 2441 21st StFort Campbell, KY 42223-5582Phone: (270) 798-8751
Registry dates
- Enumerated
- 2012-07-03
- Last updated
- 2023-08-02
- Certified
- 2023-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.