Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1780865147 Individual Practitioner Female Practitioner

Dr. Kim Shopp Haskell , DDS

Dentist • Upper Marlboro, MD

Professional Overview & Biography Verified Profile Summary

Dr. Kim Haskell, DDS is a registered healthcare professional specializing in Dentist in Upper Marlboro, MD. Practice services are available at 14414 OLD MILL RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

14414 Old Mill Rd
#101

Upper Marlboro, MD 207723069

Telephone 3016276646
Fax 3016274996
Associated Practice Facility / Clinic
🏢 Sculpted Smiles Facility NPI 1083418438

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Upper Marlboro, MD

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

Practicing in Upper Marlboro, 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

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MD 07923

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

2 Associated Practitioners
Dr. Sung Jun , DDS

Dentist - General Practice

NPI 1215298500

Doctor of Dental Surgery

NPI 1255940995

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 18, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location January 18, 2016

Registered at 14414 OLD MILL RD, #101, UPPER MARLBORO, MD 207723069 (Tel: 3016276646)

📍
Updated Business Mailing Address January 18, 2016

Registered at 14414 OLD MILL RD, #101, UPPER MARLBORO, MD 207723069 (Tel: 3016276646)

👤
Provider Name / Credentials Updated January 18, 2016

Recorded as KIM HASKELL, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2016

Dentist (License #07923 in MD)

🟢
Initial NPI Registration & Enumeration November 14, 2007

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: 1780865147
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 14, 2007
Last Update: January 18, 2016
Sole Proprietor: Yes

Mailing Address

14414 Old Mill Rd, #101

Upper Marlboro, MD 207723069

Phone: 3016276646

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.