Dr Sandra Kim, DMD in Woodbridge, VA - Dentist

Dr Sandra Kim, DMD is a Dentist based in Woodbridge, Virginia. Dr Sandra Kim is licensed to practice in District Of Columbia (license number DEN1000804) and her current practice location is 4379 Ridgewood Center Dr Ste 102, Woodbridge, Virginia. She can be reached at her office (for appointments etc.) via phone at (703) 680-7950.

NPI number for Dr Sandra Kim is 1114906575 and her current mailing address is 2333 Ontario Rd Nw, Washington, District Of Columbia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114906575.

Contact Information

	Dr Sandra Kim, DMD
	4379 Ridgewood Center Dr Ste 102, Woodbridge, VA 22192-8323
	(703) 680-7950
	(703) 680-7953

Healthcare Provider's Profile

Full Name	Dr Sandra Kim
Gender	Female
Speciality	Dentist
Location	4379 Ridgewood Center Dr Ste 102, Woodbridge, Virginia
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1114906575
Provider Enumeration Date: 01/13/2006
Last Update Date: 04/08/2021

Medical Identifiers

Medical identifiers for Dr Sandra Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114906575	NPI	-	NPPES
200285280	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	15220 (Maryland)	Secondary
122300000X	Dentist	0401412651 (Virginia)	Secondary
122300000X	Dentist	DEN1000804 (District Of Columbia)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Sandra Kim is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Sandra Kim, DMD 2333 Ontario Rd Nw, Washington, DC 20009-2627 Ph: (202) 483-4922	Dr Sandra Kim, DMD 4379 Ridgewood Center Dr Ste 102, Woodbridge, VA 22192-8323 Ph: (703) 680-7950

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Dentist in Woodbridge, VA

Dr. Michael Enon King, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 16689 River Ridge Blvd, Woodbridge, VA 22191 Phone: 703-221-9759 Fax: 703-221-2788
Trang Nguyen, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1918 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-494-2144
Dr. Young H Cho, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2200 Opitz Blvd Ste 220, Woodbridge, VA 22191 Phone: 703-492-0080 Fax: 240-513-4153
Dr. Sameer Kwatra, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 2970 Prince William Pkwy, Woodbridge, VA 22192 Phone: 703-583-7720
Pablo Martin Ruck Troncoso, Dentist Medicare: Medicare Enrolled Practice Location: 4379 Ridgewood Center Dr Ste 102, Woodbridge, VA 22192 Phone: 703-680-7950
Dr. Roger Hennigh, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3320 Noble Pond Way, Suite 109, Woodbridge, VA 22193 Phone: 703-640-1000
Michael Polifko Iii, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2010 Opitz Blvd Ste D, Woodbridge, VA 22191 Phone: 703-494-6690 Fax: 703-494-9600

Dr Sandra Kim, DMD - Dentist in Woodbridge, VA