Dr. Dong Won Kim , DMD
Dentist • Lowell, MA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Dong Kim has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Dong Kim, DMD was a registered Dentist practicing in Lowell, MA. Throughout an active medical career spanning 12 years, Dr. Kim provided care at the practice location at 133 MARKET ST until profile deactivation on 2019-11-07.
Practice Location & Contact Primary Location
133 Market St
Lowell, MA 018521808
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist in Lowell, MA
Practicing in Lowell, MA (3030 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2023-01-26NUCC Taxonomy Code: 122300000X
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.
Additional State Medicaid & Healthcare Payer Identifiers
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist - General Practice
Doctor of Dental Surgery
Dentist - General Practice
Doctor of Dental Medicine
Dentist
Doctor of Dental Medicine
Dentist - General Practice
Doctor of Dental Medicine
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 133 MARKET ST, LOWELL, MA 018521808 (Tel: 9784581179)
Registered at 3600 MYSTIC VALLEY PKWY, APT # 709, MEDFORD, MA 021555733 (Tel: 7813934830)
Recorded as DONG KIM, D.M.D.
Dentist (License #21536 in MA)
Record deactivated on November 07, 2019
NPI status registered as active in NPPES database
Registered at 133 MARKET ST, LOWELL, MA 018521808 (Tel: 9784581179)
Registered at 3600 MYSTIC VALLEY PKWY, APT # 709, MEDFORD, MA 021555733 (Tel: 7813934830)
Recorded as DONG KIM, D.M.D.
Dentist (License #21536 in MA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
3600 Mystic Valley Pkwy, Apt # 709
Medford, MA 021555733
Phone: 7813934830
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