DR. SOO-WOO KIM (D.M.D., D.M.SC. M.S.) – Dentist, NPI 1710134812

DR. SOO-WOO KIM (D.M.D., D.M.SC. M.S.) is a healthcare provider. based in Newton, Massachusetts. specializing in Dentist. They hold the professional credentials D.M.D., D.M.SC. M.S.. They hold a License No. 22306 (MA). The NPI Number for DR. SOO-WOO KIM (D.M.D., D.M.SC. M.S.) is 1710134812

Main info

Male
Sole Proprietor
Name
DR. SOO-WOO KIM (D.M.D., D.M.SC. M.S.)
NPI
1710134812
Phone
(617) 309-9701
Address
55 JUNE LN
Enumeration Date
20 August 2008
Last Update Date
30 May 2016
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:17State licenses:2Digital endpointsOther names

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Provider Addresses for DR. SOO-WOO KIM (D.M.D., D.M.SC. M.S.)

  • 55, June Lane, Oak Hill Park, Oak Hill, Newton, Middlesex County, Massachusetts, 02459, United States

    NEWTON, MA 024593611

    Phone: (617) 309-9701

    Type: Mailing

  • School of Dental Medicine, 188, Longwood Avenue, Roxbury, Boston, Suffolk County, Massachusetts, 02120, United States

    BOSTON, MA 021155819

    Phone: (617) 432-1434

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-07-06

PECOS data refreshed: 2026-06-15

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02459)

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Reviews

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Frequently asked questions

What is DR. SOO-WOO KIM (D.M.D., D.M.SC. M.S.)'s NPI number?
DR. SOO-WOO KIM (D.M.D., D.M.SC. M.S.)'s NPI is 1710134812 — the number used across U.S. healthcare to identify this provider.
Is DR. SOO-WOO KIM (D.M.D., D.M.SC. M.S.) still an active registrant?
DR. SOO-WOO KIM (D.M.D., D.M.SC. M.S.) carries an active NPI according to the public dataset.
What expertise is attributed to DR. SOO-WOO KIM (D.M.D., D.M.SC. M.S.)?
DR. SOO-WOO KIM (D.M.D., D.M.SC. M.S.)'s specialty line reads Dentist. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. SOO-WOO KIM (D.M.D., D.M.SC. M.S.)?
Directory geography for DR. SOO-WOO KIM (D.M.D., D.M.SC. M.S.) centers on Newton, Massachusetts.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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