Provider Demographics
NPI:1780870212
Name:KIM, SAHRIP (DDS)
Entity type:Individual
Prefix:DR
First Name:SAHRIP
Middle Name:
Last Name:KIM
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 LERNARD RD
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-7912
Mailing Address - Country:US
Mailing Address - Phone:732-303-6900
Mailing Address - Fax:732-303-6922
Practice Address - Street 1:535 IRON BRIDGE RD STE 9
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-5301
Practice Address - Country:US
Practice Address - Phone:732-303-6900
Practice Address - Fax:732-303-6922
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-18
Last Update Date:2019-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI023323001223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics