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Deactivated NPI 1255390522 Deactivated / Inactive NPI Male Practitioner

Dr. Eugene I. Kim , DMD

Dentist • Phoenix, AZ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Eugene Kim has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 23, 2006
NPI Deactivation Date May 17, 2023
Total Practice Duration ~17 Years of Practice (2006 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Eugene Kim, DMD was a registered Dentist practicing in Phoenix, AZ. Throughout an active medical career spanning 17 years, Dr. Kim provided care at the practice location at 9201 N 29TH AVE until profile deactivation on 2023-05-17.

Practice Location & Contact Primary Location

Practice Address

9201 N 29th Ave
Suite 33

Phoenix, AZ 850513468

Telephone 6029433700
Fax 6029433701
Associated Practice Facility / Clinic
🏢 Alpha Dental Corporation Facility NPI 1801001490

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Phoenix, AZ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 21.3 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
412 Specialists

Practicing in Phoenix, AZ (1999 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License AZ 6205

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
Kian Tingey

Dentist - General Practice

NPI 1538052295
NPI 1932054657

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 17, 2023

Record deactivated on May 17, 2023

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 9201 N 29TH AVE, SUITE 33, PHOENIX, AZ 850513468 (Tel: 6029433700)

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Updated Business Mailing Address July 08, 2007

Registered at 9201 N 29TH AVE, SUITE 33, PHOENIX, AZ 850513468 (Tel: 6029433700)

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Provider Name / Credentials Updated July 08, 2007

Recorded as EUGENE KIM, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #6205 in AZ)

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Initial NPI Registration & Enumeration March 23, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1255390522
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 23, 2006
Last Update: July 08, 2007
Deactivation Date: May 17, 2023

Mailing Address

9201 N 29th Ave, Suite 33

Phoenix, AZ 850513468

Phone: 6029433700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.