Mr Sean Sangmin Kim, is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Philadelphia, Pennsylvania. He went to Columbia University College Of Dental Medicine and graduated in 2020 and has 6 years of diverse experience with area of expertise as Dentist. His current practice location is
3223 N Broad St, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(215) 707-2871.
Mr Sean Sangmin Kim is licensed to practice in Pennsylvania (license number DS043222) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1477182467.
Healthcare Provider's Profile
| Full Name | Mr Sean Sangmin Kim |
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| Gender | Male |
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| Speciality | Dentist |
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| Experience | 6 Years |
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| Location | 3223 N Broad St, Philadelphia, Pennsylvania |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Sean Sangmin Kim attended and graduated from Columbia University College Of Dental Medicine in 2020
NPI Data:
- NPI Number: 1477182467
- Provider Enumeration Date: 04/02/2020
- Last Update Date: 04/06/2026
Medicare PECOS Information:
- PECOS PAC ID: 6204239320
- Enrollment ID: I20251111002788
Medical Identifiers
Medical identifiers for Mr Sean Sangmin Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477182467 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | DS043222 (Pennsylvania) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | DS043222 (Pennsylvania) | Primary |
| 1223G0001X | Dentist - General Practice | DS043222 (Pennsylvania) | Secondary |
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. Mr Sean Sangmin Kim is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Sean Sangmin Kim,
3223 N Broad St,
Philadelphia, PA 19140-5007
Ph: () - | Mr Sean Sangmin Kim,
3223 N Broad St,
Philadelphia, PA 19140-5007
Ph: (215) 707-2871 |
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