Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184399529 Individual Practitioner Male Practitioner

Dr. Matthew Kim , DDS

Dentist - General Practice • Lodi, CA

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Matthew Kim, DDS is a registered healthcare professional specializing in Dentist - General Practice in Lodi, CA. Official NPI practice address is registered at 1101 W TOKAY ST STE 2.

Practice Location & Contact Primary Location

Practice Address

1101 W Tokay St Ste 2

Lodi, CA 952403842

Telephone 2093340760
Associated Practice Facility / Clinic
🏢 Matthew Kim Dds Inc Facility NPI 1740062736

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lodi, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
43 Specialists

Practicing in Lodi, CA (18734 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: 2024-06-12
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 106312

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. Patrick Sweeney , DDS

Dentist - General Practice

NPI 1376640466

Doctor of Dental Surgery

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location June 12, 2024

Registered at 1101 W TOKAY ST STE 2, LODI, CA 952403842 (Tel: 2093340760)

📍
Updated Business Mailing Address June 12, 2024

Registered at 1101 W TOKAY ST STE 2, LODI, CA 952403842 (Tel: 2093340760)

📍
Updated Business Mailing Address August 18, 2022

Registered at 903 W CENTER ST STE 5, MANTECA, CA 953377315 (Tel: 2098240214)

NPI Profile Active August 09, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location August 09, 2021

Registered at 903 W CENTER ST STE 5, MANTECA, CA 953377315 (Tel: 2096429340)

📍
Updated Business Mailing Address August 09, 2021

Registered at 717 W ATHERTON DR, APT 339, MANTECA, CA 95337 (Tel: 2096429340)

👤
Provider Name / Credentials Updated August 09, 2021

Recorded as MATTHEW KIM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2021

Dentist (License #106312 in CA)

🟢
Initial NPI Registration & Enumeration August 09, 2021

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: 1184399529
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2021
Last Update: June 12, 2024
Sole Proprietor: No

Mailing Address

1101 W Tokay St Ste 2

Lodi, CA 952403842

Phone: 2093340760

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.