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Northtowne Dentistry LLC

NPI 1104538404ActiveOrganization· Dentist, General Practice· Albuquerque, NM

Dentist, General Practice in Albuquerque, New Mexico, registered in NPPES in December 2022. The authorized official on file is Chris Yonghyun Kim, DDS, President.

Overview

NPI1104538404
StatusActive
Entity typeOrganization
NPI issuedDec 19, 2022
Last updated in NPPESDec 19, 2022
Certified by providerDec 18, 2022

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, General Practice Primary1223G0001X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other general dentists in Albuquerque

All 407 general dentists in Albuquerque · All general dentists in New Mexico