Kook Sun Kim, DMD
Dentist, General Practice in Grand Prairie, TX. Individual provider (NPI-1).
NPI number1164031431
StatusActive
Last updated in NPPESMay 13, 2025
Details
- NPI
- 1164031431
- Entity type
- Individual (NPI-1)
- Name
- Kook Sun Kim
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 23, 2020
- Certification date
- May 13, 2025
- Last updated
- May 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 40802 | TX | Yes |
| 1223G0001X | Dentist, General Practice | 11703586-9922 | UT |
Practice location
2510 Bardin Rd Ste 800Grand Prairie, TX 75052-3838
Phone 972-623-0200
Mailing address
2510 Bardin Rd Ste 800Grand Prairie, TX 75052-3838
Phone 972-623-0200
Other practice locations
4323 Hill St
Columbia, SC 29207-6022
Columbia, SC 29207-6022
Phone 803-751-5178
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other General Practice Dentistry providers in Grand Prairie, TX
- 214 Dental PLLCNPI 1336738376
- 214dentalcare PLLCNPI 1841889888
- Affordable Dentist Near Me Grand Prairie, PLLCNPI 1134737919
- Dandric Allen, DDSNPI 1578656377
- Joseph Anwah, DDSNPI 1023102522
- Ramona Applewhite Taylor, D.D.S.NPI 1275609224
- Cary Brian Askins, D.D.S.NPI 1154589232
- Karry B Barnes, DDSNPI 1841344157
- Janelle Burnette Bicknell, DDSNPI 1902994635
- Mark D Bickston, D.D.S.NPI 1811017742
All 105 General Practice Dentistry providers in Grand Prairie · All 2,271 providers in Grand Prairie
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.