Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1659045466 Individual Practitioner Male Practitioner

Dr. Sung Woo Kim , DDS

Dentist • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Dr. Sung Woo Kim, DDS is a registered healthcare professional specializing in Dentist in Jacksonville, FL. Practice services are available at 2080 CHILD ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2080 Child St

Jacksonville, FL 322145005

Telephone 9045464103
Associated Practice Facility / Clinic
🏢 Naval Hospital Jacksonville Facility NPI 1265411383

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
295 Specialists

Practicing in Jacksonville, FL (6414 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: 2024-10-07
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License TX 37652

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
Steven Undheim , IDC

Military Health Care Provider - Independent Duty Corpsman

NPI 1003357559
Ramona Greene

Registered Nurse - Medical-Surgical

NPI 1003458787
Dr. Hannah Gould , MD

Military Health Care Provider

NPI 1003665803

Doctor of Medicine (M.D.)

Dr. Ronald Appleby , DMD

Dentist - General Practice

NPI 1003886300

Doctor of Dental Medicine

Debra Wagner , CNM, ARNP

Advanced Practice Midwife

NPI 1013050095

Certified Nurse Midwife, Advanced Registered Nurse Practitioner

NPI 1013653732

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location October 07, 2024

Registered at 2080 CHILD ST, JACKSONVILLE, FL 322145005 (Tel: 9045464103)

📍
Updated Practice Location October 26, 2023

Registered at 212 WALLACE CREEK RD, CAMP LEJEUNE, NC 28547 (Tel: 9104516122)

📍
Updated Business Mailing Address October 26, 2023

Registered at 21210 TWISTED WILLOW LN, KATY, TX 774506318 (Tel: 7035079151)

NPI Profile Active August 04, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location August 04, 2021

Registered at 3440 W OHIO ST BLDG 1017, GREAT LAKES, IL 600883155 (Tel: 8476882100)

📍
Updated Business Mailing Address August 04, 2021

Registered at 3027 CHEVERNY DR, KATY, TX 774935031 (Tel: 7035079151)

👤
Provider Name / Credentials Updated August 04, 2021

Recorded as SUNG WOO KIM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2021

Dentist (License #37652 in TX)

🟢
Initial NPI Registration & Enumeration August 04, 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: 1659045466
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2021
Last Update: October 07, 2024
Sole Proprietor: No

Mailing Address

21210 Twisted Willow Ln

Katy, TX 774506318

Phone: 7035079151

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.