Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1285033704 Individual Practitioner Male Practitioner

Dr. Stephan Seok Kim , DMD

Dentist • Apo, CA

Professional Overview & Biography Verified Profile Summary

Dr. Stephan Kim, DMD is a registered healthcare professional specializing in Dentist in Apo, CA. Practice services are available at BRIAN D. ALLGOOD ARMY COMMUNITY HOSPITAL (BDAACH) under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

Brian D. Allgood Army Community Hospital (Bdaach)
Unit #15245

Apo, CA 96271

Telephone 3157379187

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Apo, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Apo, CA (15331 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

CMS Verified: 2022-10-12
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License PA DS040117

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License NJ 22DI02584000

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

40 Associated Practitioners
Dr. Hyun-Ju Kang , DNP, FNP, PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1043417645

Doctor of Nursing Practice, Family Nurse Practitioner, Psychiatric-Mental Health Nurse Practitioner

Dr. Grant Beaman , PsyD

Psychologist - Clinical

NPI 1053863860

Doctor of Psychology (Psy.D.)

NPI 1063028223

Licensed Social Worker

Dr. Carly Katalinic , MD

Obstetrics & Gynecology

NPI 1073106431

Doctor of Medicine (M.D.)

NPI 1124686472

PHYSICIANASSISTANT

Michelle Ingersoll , OTR, L

Occupational Therapist

NPI 1124876933

Occupational Therapist Registered, L

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location October 20, 2022

Registered at BRIAN D. ALLGOOD ARMY COMMUNITY HOSPITAL (BDAACH), UNIT #15245, APO, CA 96271 (Tel: 3157379187)

📍
Updated Business Mailing Address October 20, 2022

Registered at PSC 444 BOX 824, APO, AP 962970009 (Tel: 3157379187)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2022

Dentist (License #22DI02584000 in NJ)

NPI Profile Active October 12, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location October 12, 2016

Registered at 10501 ACADEMY RD, SUITE C, PHILADELPHIA, PA 191141137 (Tel: 2156377474)

📍
Updated Business Mailing Address October 12, 2016

Registered at 10501 ACADEMY RD, SUITE C, PHILADELPHIA, PA 191141137 (Tel: 2156377474)

👤
Provider Name / Credentials Updated October 12, 2016

Recorded as STEPHAN KIM, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2016

Dentist (License #DS040117 in PA)

🟢
Initial NPI Registration & Enumeration August 20, 2014

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: 1285033704
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 20, 2014
Last Update: October 20, 2022
Sole Proprietor: No

Mailing Address

Psc 444 Box 824

Apo, AP 962970009

Phone: 3157379187

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.