Dr Soo-woo Kim, DMD, DMSC MS in Boston, MA

Dr Soo-woo Kim, DMD, DMSC MS is a medicare enrolled "Dentist" provider in Boston, Massachusetts. His current practice location is 188 Longwood Ave, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (617) 432-1434.

Dr Soo-woo Kim is licensed to practice in Massachusetts (license number 22306) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1710134812.

Contact Information

	Dr Soo-woo Kim, DMD, DMSC MS
	188 Longwood Ave, Boston, MA 02115-5819
	(617) 432-1434
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Soo-woo Kim
Gender	Male
Speciality	Dentist
Location	188 Longwood Ave, Boston, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710134812
Provider Enumeration Date: 08/20/2008
Last Update Date: 05/30/2016

Medicare PECOS Information:

PECOS PAC ID: 6305138751
Enrollment ID: I20160706000958

Medical Identifiers

Medical identifiers for Dr Soo-woo Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710134812	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	22306 (Massachusetts)	Primary
1223P0300X	Dentist - Periodontics	DN22306 (Massachusetts)	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. Dr Soo-woo 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
Dr Soo-woo Kim, DMD, DMSC MS 55 June Ln, Newton, MA 02459-3611 Ph: (617) 309-9701	Dr Soo-woo Kim, DMD, DMSC MS 188 Longwood Ave, Boston, MA 02115-5819 Ph: (617) 432-1434

Reviews and Comments

Dentist in Boston, MA

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Dr. Jeffrey Brian Reardon, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 300 Longwood Ave # Hu226, Boston, MA 02115 Phone: 617-355-4426
Jacob Fortenberry, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 635 Albany St, Boston, MA 02118 Phone: 601-278-0923
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Dr Soo-woo Kim, DMD, DMSC MS - Medicare Dentist in Boston, MA