Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558112151 Individual Practitioner Male Practitioner

Siwoo Kim

Dentist • Gaithersburg, MD

Professional Overview & Biography Verified Profile Summary

Siwoo Kim is a registered healthcare professional specializing in Dentist in Gaithersburg, MD. Practice services are available at 10201 WASHINGTONIAN BLVD APT 514 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10201 Washingtonian Blvd Apt 514

Gaithersburg, MD 208788310

Telephone 4439960507

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Gaithersburg, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.6 Yrs
Regional Practice Density
61 Specialists

Practicing in Gaithersburg, MD (1975 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: 2025-08-07
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MD 18849

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location August 07, 2025

Registered at 10201 WASHINGTONIAN BLVD APT 514, GAITHERSBURG, MD 208788310 (Tel: 4439960507)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 07, 2025

Dentist (License #18849 in MD)

NPI Profile Active April 01, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location April 01, 2024

Registered at 5 CABOT RD UNIT 338, MEDFORD, MA 021555295 (Tel: 4439960507)

📍
Updated Business Mailing Address April 01, 2024

Registered at 5 CABOT RD UNIT 338, MEDFORD, MA 021555295 (Tel: 4439960507)

👤
Provider Name / Credentials Updated April 01, 2024

Recorded as SIWOO KIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 01, 2024

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: 1558112151
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 01, 2024
Last Update: August 07, 2025
Sole Proprietor: Yes

Mailing Address

5 Cabot Rd Unit 338

Medford, MA 021555295

Phone: 4439960507

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.