Healthcare Provider Details

I. General information

NPI: 1073828620
Provider Name (Legal Business Name): HELEN HAEWON KIM DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/06/2010
Last Update Date: 05/04/2026
Certification Date: 05/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4820 E HAMPDEN AVE # 104
DENVER CO
80222-7300
US

IV. Provider business mailing address

4820 E HAMPDEN AVE # 104
DENVER CO
80222-7300
US

V. Phone/Fax

Practice location:
  • Phone: 720-398-5509
  • Fax:
Mailing address:
  • Phone: 720-398-5509
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number206551
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberD13627
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: