# SEAN KIM DDS PC

> 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
- **Other names:** River club Dental Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215325055
- **Authorized official:** DR. SEAN KIM DDS (PRESIDENT)
- **Authorized official phone:** (540) 623-7697

## Contact information

- **Practice address:** 10861 TIDEWATER TRL, FREDERICKSBURG, VA 22408-2048
- **Practice address phone:** (540) 371-7684
- **Practice address fax:** (540) 371-7686
- **Mailing address:** 10861 TIDEWATER TRL, FREDERICKSBURG, VA 22408-2048
- **Mailing address phone:** (540) 371-7684
- **Mailing address fax:** (540) 371-7686

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401411835 | VA | Yes |

## Other

- **Enumeration date:** 01/01/2015
- **Last updated:** 01/01/2015