Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1740357755 Individual Practitioner Male Practitioner

Dr. Ji S Kim , DDS, PLLC

Dentist - General Practice • Redford, MI

Professional Overview & Biography Verified Profile Summary

Dr. Ji Kim, DDS, PLLC is a registered healthcare professional specializing in Dentist - General Practice in Redford, MI. Practice services are available at 26750 GRAND RIVER AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

26750 Grand River Ave

Redford, MI 482401529

Telephone 3135312000
Fax 3135311063
Associated Practice Facility / Clinic
🏢 Ji S Kim Dds Pllc Facility NPI 1205110293

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Redford, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.8 Yrs
Regional Practice Density
12 Specialists

Practicing in Redford, MI (4360 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 - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MI 2901019035

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
124845452 (MI)

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1003316837

Registered Dental Hygienist

Dr. Kashif Naqvi , DDS

Dentist - General Practice

NPI 1508396995

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 26750 GRAND RIVER AVE, REDFORD, MI 482401529 (Tel: 3135312000)

📍
Updated Business Mailing Address July 08, 2007

Registered at 26750 GRAND RIVER AVE, REDFORD, MI 482401529 (Tel: 3135312000)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JI KIM, D.D.S., PLLC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #2901019035 in MI)

🟢
Initial NPI Registration & Enumeration November 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Ji Kim. Be the first to share your experience!

Sign in to leave a review for Dr. Ji Kim

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1740357755
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 29, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

26750 Grand River Ave

Redford, MI 482401529

Phone: 3135312000

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.