Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1851016414 Individual Practitioner Female Practitioner

Dr. Yeon Soo Kim , DDS

Dentist • Moline, IL

Professional Overview & Biography Verified Profile Summary

Dr. Yeon Soo Kim, DDS is a registered healthcare professional specializing in Dentist in Moline, IL. Practice services are available at 4601 16TH ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4601 16th St

Moline, IL 612657000

Telephone 3097970888
Associated Practice Facility / Clinic
🏢 Secure Dental Ii Facility NPI 1992048912

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Moline, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
24 Specialists

Practicing in Moline, IL (4751 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: 2022-10-06
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License IL 019.033971

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

1 Associated Practitioners
Hogeun Chi

Dentist - General Practice

NPI 1659840908

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 06, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location October 06, 2022

Registered at 4601 16TH ST, MOLINE, IL 612657000 (Tel: 3097970888)

📍
Updated Business Mailing Address October 06, 2022

Registered at 4601 16TH ST, MOLINE, IL 612657000 (Tel: 3097970888)

👤
Provider Name / Credentials Updated October 06, 2022

Recorded as YEON SOO KIM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2022

Dentist (License #019.033971 in IL)

🟢
Initial NPI Registration & Enumeration October 06, 2022

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: 1851016414
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 06, 2022
Last Update: October 06, 2022
Sole Proprietor: No

Mailing Address

4601 16th St

Moline, IL 612657000

Phone: 3097970888

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.