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NPISignal

Individual Healthcare Provider

John Minkyu Kim, DDS

NPI Record: ActiveOral & Maxillofacial Surgery
NPI1699039792
Ann Arbor, Michigan

Provider's NPPES record last updated: August 2, 2023

Overview

Entity Type
Individual Healthcare Provider
NPI
1699039792
Primary Specialty
Oral & Maxillofacial Surgery
Practice Location
Ann Arbor, Michigan
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 11:46 AM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Oral & Maxillofacial Surgery

    Allopathic & Osteopathic Physicians

    Primary

    Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

    Taxonomy code 204E00000X
  • Dentist

    Dental Providers

    A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

    Taxonomy code 122300000X
  • Dentist

    Oral and Maxillofacial Surgery

    Dental Providers

    The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

    Taxonomy code 1223S0112X
  • Pharmacist

    Pharmacy Service Providers

    An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.

    Taxonomy code 183500000X

Provider-Reported License Information

Oral & Maxillofacial Surgery (Michigan)
2901601571
Dentist (Hawaii)
DT 2474
Dentist (Hawaii)
DT-2474
Pharmacist (Hawaii)
PH 2612
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

1500 E Medical Center Dr

Ann Arbor, Michigan 48109-5000

Phone: (734) 936-4000

Additional Practice Location

2441 21st St

Fort Campbell, Kentucky 42223-5582

Phone: (270) 798-8751

Additional Practice Location

618th Dental Co. Usag Humphreys, Carius Dental Clinic

Unit # 15660, Bldg # P3020

Apo, AP 96271-5660

Phone: (808) 295-8453

Record Information

Enumeration Date
July 3, 2012
Provider's NPPES Record Last Updated
August 2, 2023
Certification Date
August 2, 2023
NPISignal NPPES Dataset
August 2026

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