Individual
DR. BRUCE KIM YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MPH
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
063198
NY
1223E0200X
Endodontics
063198
NY
1223P0300X
Periodontics
063198
NY
1223P0700X
Prosthodontics
063198
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
063198
NY
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
063198
NY
Other
Enumeration date
04/05/2022
Last updated
02/21/2026
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