# DANIEL D. KIM, D.D.S., LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114347192
- **Authorized official:** DR. DONGKYUN KIM (CLINICAL DIRECTOR)
- **Authorized official phone:** (201) 313-2277

## Contact information

- **Practice address:** 321 BROAD AVE, \#5, RIDGEFIELD, NJ 07657-2346
- **Practice address phone:** (201) 313-2277
- **Practice address fax:** (201) 496-6124
- **Mailing address:** 321 BROAD AVE, \#5, RIDGEFIELD, NJ 07657-2346
- **Mailing address phone:** (201) 313-2277
- **Mailing address fax:** (201) 496-6124

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QE0002X | Emergency Care Clinic/Center | 22DI02255900 | NJ | Yes |

## Other

- **Enumeration date:** 04/17/2014
- **Last updated:** 04/24/2014