MEDICARE: DR. GUN-NAM KIM DMD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	20262	MA

General Provider Information

NPI Number	:	1023254638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GUN-NAM KIM DMD

Provider Business Mailing Address
First Line	:	14 FEDERAL AVE.
Second Line	:
City	:	QUINCY
State	:	MA
Zip	:	02169
Country	:	US
Telephone Number	:	617-328-9579
Fax Number	:	617-471-3642

Provider Business Practice Location Address
First Line	:	14 FEDERAL AVE.
Second Line	:
City	:	QUINCY
State	:	MA
Zip	:	02169
Country	:	US
Telephone Number	:	617-328-9579
Fax Number	:	617-471-3642

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/02/2009
Last Update Date	:	01/02/2009

Similar Medicare Providers

1386595940 — DAVID G WOODS
Practice Location Address:

268 WEST ST APT 5
QUINCY, MA
02169-6233

Practice Phone: 774-218-8479
Practice Fax:

1154135309 — MARISA DEL VECCHIO
Practice Location Address:

1120 HANCOCK ST
QUINCY, MA
02169-4313

Practice Phone: 617-417-8400
Practice Fax:

1710234026 — RICHARD W HYNES JR. LICSW
Practice Location Address:

859 WILLARD ST
QUINCY, MA
02169-7482

Practice Phone: 617-847-1926
Practice Fax: 617-774-1490

1255283362 — PDF COUNSELING PLLC
Practice Location Address:

859 WILLARD ST STE 400
QUINCY, MA
02169-7469

Practice Phone: 617-999-5715
Practice Fax: 401-489-7898

1235830381 — JOSIEFINA RODRIGUES MIRANDA
Practice Location Address:

625 WILLARD ST # 2
QUINCY, MA
02169-7429

Practice Phone: 617-412-0456
Practice Fax:

1346192267 — KENDRA LAUREN KASPER
Practice Location Address:

54 MILLER ST
QUINCY, MA
02169-4725

Practice Phone: 617-847-1914
Practice Fax:

1891647582 — MARISA NICOLE SMITH
Practice Location Address:

54 MILLER ST
QUINCY, MA
02169-4725

Practice Phone: 617-847-1914
Practice Fax:

Directions to “ DR. GUN-NAM KIM DMD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.