# CLAY KIM DDS MD LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Eastern Maryland Oral and Maxillofacial Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124904339
- **Authorized official:** CLAY KIM DDS (OWNER DENTIST)
- **Authorized official phone:** (410) 443-0461

## Contact information

- **Practice address:** 499 IDLEWILD AVE UNIT 106, EASTON, MD 21601-4049
- **Practice address phone:** (410) 443-0461
- **Practice address fax:** (410) 443-0461
- **Mailing address:** 499 IDLEWILD AVE UNIT 106, EASTON, MD 21601-4049
- **Mailing address phone:** (410) 443-0461
- **Mailing address fax:** (410) 443-0461

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 08/13/2025
- **Last updated:** 08/13/2025