Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1659991107 Individual Practitioner Male Practitioner

Pyo Jae Kim

Dentist - General Practice • Troy, MI

Professional Overview & Biography Verified Profile Summary

Pyo Jae Kim is a registered healthcare professional specializing in Dentist - General Practice in Troy, MI. Practice services are available at 805 SANDALWOOD DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

805 Sandalwood Dr

Troy, MI 480851643

Telephone 2134002614

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Troy, MI

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

Practicing in Troy, 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

CMS Verified: 2021-01-19
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License MI 2901600680

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.

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 19, 2021

Dentist (License #2901600680 in MI)

NPI Profile Active April 24, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location April 24, 2020

Registered at 805 SANDALWOOD DR, TROY, MI 480851643 (Tel: 2134002614)

📍
Updated Business Mailing Address April 24, 2020

Registered at 805 SANDALWOOD DR, TROY, MI 480851643 (Tel: 2134002614)

👤
Provider Name / Credentials Updated April 24, 2020

Recorded as PYO JAE KIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 24, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 24, 2020

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: 1659991107
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 24, 2020
Last Update: January 19, 2021
Sole Proprietor: Yes

Mailing Address

805 Sandalwood Dr

Troy, MI 480851643

Phone: 2134002614

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.