Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023405305 Individual Practitioner Female Practitioner

Dr. Grace Eunheh Kim , DDS

Dentist - General Practice • Salisbury, MD

Professional Overview & Biography Verified Profile Summary

Dr. Grace Kim, DDS is a registered healthcare professional specializing in Dentist - General Practice in Salisbury, MD. Practice services are available at 1301 MOUNT HERMON RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1301 Mount Hermon Rd

Salisbury, MD 218045219

Telephone 4102028500
Fax 4102028507
Associated Practice Facility / Clinic
🏢 Smiles By Dr Brar Llc Facility NPI 1578226627

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Salisbury, MD

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
42 Specialists

Practicing in Salisbury, MD (2555 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: 2025-07-07
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MD 16873

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
119591300 (MD)

Secondary Practice Locations

12165 Elm St

Princess Anne, MD 218531358

Phone: 4106515151

Career & Practice History Timeline

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

18 Historical Events
📍
Updated Practice Location July 07, 2025

Registered at 1301 MOUNT HERMON RD, SALISBURY, MD 218045219 (Tel: 4102028500)

📍
Updated Business Mailing Address July 07, 2025

Registered at 1301 MOUNT HERMON RD, SALISBURY, MD 218045219 (Tel: 4102028500)

📍
Updated Practice Location October 13, 2021

Registered at 12165 ELM ST, PRINCESS ANNE, MD 218531358 (Tel: 4106515151)

📍
Updated Business Mailing Address October 13, 2021

Registered at PO BOX 1978, SALISBURY, MD 218021978 (Tel: 4107491015)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2021

Dentist (License #16873 in MD)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2019

Dentist (License #34387 in TX)

📍
Updated Practice Location May 14, 2019

Registered at 7112 ED BLUESTEIN BLVD STE 130, AUSTIN, TX 787232924 (Tel: 5129267001)

NPI Profile Active August 30, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address August 30, 2017

Registered at 12501 TECH RIDGE BLVD APT 1621, AUSTIN, TX 78753 (Tel: 5852755087)

📍
Updated Practice Location August 30, 2017

Registered at 625 ELMWOOD AVE, ROCHESTER, NY 146202913 (Tel: 5852755087)

👤
Provider Name / Credentials Updated August 30, 2017

Recorded as GRACE KIM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2017

Student in an Organized Health Care Education/Training Program

NPI Profile Active April 23, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location April 23, 2015

Registered at 625 ELMWOOD AVE, ROCHESTER, NY 146202913 (Tel: 5852755087)

📍
Updated Business Mailing Address April 23, 2015

Registered at 625 ELMWOOD AVE, ROCHESTER, NY 146202913 (Tel: 5852755087)

👤
Provider Name / Credentials Updated April 23, 2015

Recorded as GRACE KIM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2015

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 23, 2015

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: 1023405305
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 23, 2015
Last Update: July 07, 2025
Sole Proprietor: No

Mailing Address

1301 Mount Hermon Rd

Salisbury, MD 218045219

Phone: 4102028500

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.