Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1063552974 Individual Practitioner Male Practitioner

Dr. Kyeong-Bin Im , DDS

Dentist - General Practice • Fairfield, CT

Professional Overview & Biography Verified Profile Summary

Dr. Kyeong-Bin Im, DDS is a registered healthcare professional specializing in Dentist - General Practice in Fairfield, CT. Practice services are available at 400 STILLSON RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

400 Stillson Rd

Fairfield, CT 068243103

Telephone 2033336171
Fax 2033338641
Associated Practice Facility / Clinic
🏢 Koenig Family Therapy Llc Facility NPI 1700235900

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Fairfield, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.3 Yrs
Regional Practice Density
36 Specialists

Practicing in Fairfield, CT (1821 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 - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CT 8649

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

7 Associated Practitioners
Dr. Joan Franklin , PsyD

Psychologist - Clinical

NPI 1215914155

Doctor of Psychology (Psy.D.)

NPI 1225183247

Doctor of Philosophy (Ph.D.)

Dr. Vicki Boudin , PsyD

Psychologist - Clinical

NPI 1295949576

Doctor of Psychology (Psy.D.)

Dr. Michael Tobet , DC

Chiropractor - Sports Physician

NPI 1417049115

Doctor of Chiropractic

Andrea Bachrach

Psychologist - Clinical

NPI 1518040385
Maxine Greenberg , MSW

Social Worker - Clinical

NPI 1861463846

Master of Social Work

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 400 STILLSON RD, FAIRFIELD, CT 068243103 (Tel: 2033336171)

📍
Updated Business Mailing Address July 08, 2007

Registered at 400 STILLSON RD, FAIRFIELD, CT 068243103 (Tel: 2033336171)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as KYEONG-BIN IM, DDS

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

Dentist (License #8649 in CT)

🟢
Initial NPI Registration & Enumeration February 08, 2007

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: 1063552974
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 08, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

400 Stillson Rd

Fairfield, CT 068243103

Phone: 2033336171

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.