Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215207733 Individual Practitioner Male Practitioner

Dr. Peter Kim , DDS

Dentist • Modesto, CA

Professional Overview & Biography Verified Profile Summary

Dr. Peter Kim, DDS is a registered healthcare professional specializing in Dentist in Modesto, CA. Practice services are available at 3608 DALE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3608 Dale Rd

Modesto, CA 953560500

Telephone 2095770777
Associated Practice Facility / Clinic
🏢 Rickey & Wong, Dds, Inc. Facility NPI 1154652840

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Modesto, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
110 Specialists

Practicing in Modesto, 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

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 56244

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

6 Associated Practitioners
NPI 1083984942

Doctor of Dental Surgery

NPI 1164190591
Dr. Mina Arbabaraghi , DMD

Dentist - General Practice

NPI 1265923049

Doctor of Dental Medicine

NPI 1376901371

Doctor of Dental Medicine

Dr. Charles Poole , DDS

Dentist - General Practice

NPI 1851834964

Doctor of Dental Surgery

Dr. Grant Rickey , DDS

Dentist - General Practice

NPI 1861588410

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 02, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location January 02, 2012

Registered at 3608 DALE RD, MODESTO, CA 953560500 (Tel: 2095770777)

📍
Updated Business Mailing Address January 02, 2012

Registered at 2033 CHEYENNE WAY, MODESTO, CA 953560761

👤
Provider Name / Credentials Updated January 02, 2012

Recorded as PETER KIM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 02, 2012

Dentist (License #56244 in CA)

🟢
Initial NPI Registration & Enumeration January 02, 2012

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: 1215207733
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 02, 2012
Last Update: January 02, 2012
Sole Proprietor: No

Mailing Address

2033 Cheyenne Way

Modesto, CA 953560761

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.