Healthcare Provider Details

I. General information

NPI: 1134085087
Provider Name (Legal Business Name): MSK.DMD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 01/05/2026
Certification Date: 01/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20630 ASHBURN RD STE 196
ASHBURN VA
20147-5626
US

IV. Provider business mailing address

4001 9TH ST N APT 508
ARLINGTON VA
22203-1959
US

V. Phone/Fax

Practice location:
  • Phone: 410-900-2545
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. MIN SEONG KIM
Title or Position: OWNER DENTIST
Credential: DMD
Phone: 410-900-2545