OrganizationActive
Dr. Dongwon Kim PC
NPI 1740955723 · Dental Clinic/Center · Mattapan, MA
Provider details
- NPI number
- 1740955723
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Dong Kim, DMD(508) 821-9041
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
542 River St
Mattapan, MA 02126-3014
Phone: (617) 322-9773
Street-level locationGet directions
Mailing address
542 River St
Mattapan, MA 02126-3014
Additional practice locations (1)
- 80 Main StTaunton, MA 02780-2736Phone: (508) 821-9041
Registry dates
- Enumerated
- 2021-08-12
- Last updated
- 2021-08-12
- Certified
- 2021-08-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.