Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114002953 Individual Practitioner Male Practitioner

Dr. Peter Kim , DDS

Dentist - General Practice • Libertyville, IL

Professional Overview & Biography Verified Profile Summary

Dr. Peter Kim, DDS is a registered healthcare professional specializing in Dentist - General Practice in Libertyville, IL. Practice services are available at 1109 WEST PARK AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1109 West Park Ave

Libertyville, IL 60048

Telephone 8473671133
Associated Practice Facility / Clinic
🏢 Dental Health And Beauty Facility NPI 1265728224

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Libertyville, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
32 Specialists

Practicing in Libertyville, IL (5581 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

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

2 Associated Practitioners
Dr. Nicholas Polito , DDS

Dentist - General Practice

NPI 1114001302

Doctor of Dental Surgery

NPI 1356969257

Doctor of Dental Medicine

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 1109 WEST PARK AVE, LIBERTYVILLE, IL 60048 (Tel: 8473671133)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1109 WEST PARK AVE, LIBERTYVILLE, IL 60048 (Tel: 8473671133)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PETER KIM, DDS

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

Dentist

🟢
Initial NPI Registration & Enumeration October 26, 2006

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: 1114002953
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 26, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

1109 West Park Ave

Libertyville, IL 60048

Phone: 8473671133

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.