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Active NPI 1215730387 Individual Practitioner Female Practitioner

Dr. Mean Ji Kim , DMD

Dentist • Somerville, MA

Professional Overview & Biography Verified Profile Summary

Dr. Mean Ji Kim, DMD is a registered healthcare professional specializing in Dentist in Somerville, MA. Practice services are available at 622 SOMERVILLE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

622 Somerville Ave

Somerville, MA 021433211

Telephone 6176238489
Associated Practice Facility / Clinic
🏢 Just Smiles Dental Facility NPI 1184959595

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Somerville, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.4 Yrs
Regional Practice Density
30 Specialists

Practicing in Somerville, MA (3030 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: 2026-05-06
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MA DN10000745

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License UT 12159832-9926

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

1 Associated Practitioners
Sarah Feltz

Dentist - General Practice

NPI 1750025201

Career & Practice History Timeline

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

8 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2026

Dentist (License #DN10000745 in MA)

📍
Updated Practice Location August 23, 2025

Registered at 622 SOMERVILLE AVE, SOMERVILLE, MA 021433211 (Tel: 6176238489)

NPI Profile Active April 01, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location April 01, 2025

Registered at 52-2, GWAJEONG-RO, SUYEONG-GU, BUSAN, KYUNGSANGN 48218 (Tel: 0517542875)

📍
Updated Business Mailing Address April 01, 2025

Registered at 1400 MIRA VALLE ST, MONTEREY PARK, CA 917545322

👤
Provider Name / Credentials Updated April 01, 2025

Recorded as MEAN JI KIM, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 01, 2025

Dentist (License #12159832-9926 in UT)

🟢
Initial NPI Registration & Enumeration April 01, 2025

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: 1215730387
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 01, 2025
Last Update: May 06, 2026
Sole Proprietor: No

Mailing Address

1400 Mira Valle St

Monterey Park, CA 917545322

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.