Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1962189050 Individual Practitioner Female Practitioner

Samantha Kim

Dentist - General Practice • Methuen, MA

Professional Overview & Biography Verified Profile Summary

Samantha Kim is a registered healthcare professional specializing in Dentist - General Practice in Methuen, MA. Practice services are available at 40 JACKSON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

40 Jackson St

Methuen, MA 01844

Telephone 9788743320
Associated Practice Facility / Clinic
🏢 42 North Dental Care, Llc Facility NPI 1184993842

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Methuen, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
36 Specialists

Practicing in Methuen, MA (3722 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: 2024-09-11
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MA DN10000398

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.

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.

Secondary Practice Locations

14 Mcgrath Hwy

Somerville, MA 021434505

Phone: 6179342164

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Paul Dyrkacz , DMD

Dentist - Oral and Maxillofacial Surgery

NPI 1821597022

Doctor of Dental Medicine

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location September 11, 2024

Registered at 40 JACKSON ST, METHUEN, MA 01844 (Tel: 9788743320)

📍
Updated Business Mailing Address September 11, 2024

Registered at 40 JACKSON ST, METHUEN, MA 018445000 (Tel: 9788743320)

NPI Profile Active June 29, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location June 29, 2023

Registered at 345 E 24TH ST, NEW YORK, NY 100104020 (Tel: 2129989800)

📍
Updated Business Mailing Address June 29, 2023

Registered at 345 E 24TH ST, NEW YORK, NY 100104020 (Tel: 2129989800)

👤
Provider Name / Credentials Updated June 29, 2023

Recorded as SAMANTHA KIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 29, 2023

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: 1962189050
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 29, 2023
Last Update: September 11, 2024
Sole Proprietor: No

Mailing Address

40 Jackson St

Methuen, MA 018445000

Phone: 9788743320

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.