IndividualActive
Han Kim, DMD
NPI 1861946683 · Periodontics · Fort Meade, MD
Provider details
- NPI number
- 1861946683
- Entity type
- Individual
- Primary specialty
- PeriodonticsDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- 65331 (CA)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
2480 Llewellyn Ave
Fort Meade, MD 20755-7081
Phone: (310) 993-1836
Approximate (ZIP-level) locationGet directions
Mailing address
1040 Flynn Rd
Camarillo, CA 93012-5092
Registry dates
- Enumerated
- 2016-08-10
- Last updated
- 2025-08-19
- Certified
- 2025-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.