# KIM DENTISTRY PLLC

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

## Provider details

- **NPI number:** 1316809676
- **Authorized official:** LAUREN BROWN (FRONT OFFICE ADMIN)
- **Authorized official phone:** (517) 886-1100

## Contact information

- **Practice address:** 4912 W ST JOE HWY STE 2, LANSING, MI 48917-4090
- **Practice address phone:** (517) 886-1100
- **Practice address fax:** (517) 327-1071
- **Mailing address:** 4912 W ST JOE HWY STE 2, LANSING, MI 48917-4090
- **Mailing address phone:** (517) 886-1100
- **Mailing address fax:** (517) 327-1071

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 11/25/2025
- **Last updated:** 11/25/2025