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Closter Dental PC

NPI 1578677092ActiveOrganization· Dentist, Prosthodontics· Closter, NJ

Dentist, Prosthodontics in Closter, New Jersey, registered in NPPES in August 2006. The authorized official on file is Sung Rae Kim, DDS, President.

Overview

NPI1578677092
StatusActive
Entity typeOrganization
NPI issuedAug 19, 2006
Last updated in NPPESAug 22, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, Prosthodontics Primary1223P0700XDI19751NJ

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 Dentist, Prosthodontics providers in Closter

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