Search › New York › 122300000X
Joo Kim, D.D.S
NPI 1790920049 · on the registry since 2008 · sole proprietor
Practice
- Address
- 3366 Park Ave
Wantagh, NY 11793 - Phone
- (646) 784-2703
- Organisation at this address
- Home Agency Inc
Earth Mountain Acupuncture,P.C.
South Shore Long Island Periodontics And ImplantologyInferred from a shared address, not stated in the registry. - Clinicians at this address
- 16
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 122300000X
- Licence states on file
- NJ, NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York