John Minkyu Kim, DDS is a
Oral & Maxillofacial Surgery based in Ann Arbor, Michigan. John Minkyu Kim is licensed to practice in Michigan (license number 2901601571) and his current practice location is
1500 E Medical Center Dr, Ann Arbor, Michigan. He can be reached at his office (for appointments etc.) via phone at
(734) 936-4000.
NPI number for John Minkyu Kim is 1699039792 and his current mailing address is 3621 S State St, Ann Arbor, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1699039792.
Healthcare Provider's Profile
| Full Name | John Minkyu Kim |
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| Gender | Male |
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| Speciality | Oral & Maxillofacial Surgery |
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| Location | 1500 E Medical Center Dr, Ann Arbor, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1699039792
- Provider Enumeration Date: 07/03/2012
- Last Update Date: 08/02/2023
Medical Identifiers
Medical identifiers for John Minkyu Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699039792 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | DT 2474 (Hawaii) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DT-2474 (Hawaii) | Secondary |
| 183500000X | Pharmacist | PH 2612 (Hawaii) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 2901601571 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John Minkyu Kim is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
John Minkyu Kim, DDS
3621 S State St,
Ann Arbor, MI 48108-1633
Ph: (734) 647-5299 | John Minkyu Kim, DDS
1500 E Medical Center Dr,
Ann Arbor, MI 48109-5000
Ph: (734) 936-4000 |
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