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Active NPI 1528990678 Individual Practitioner Male Practitioner

Dr. Eugene Kim , DDS

Dentist - General Practice • Omaha, NE

Professional Overview & Biography Verified Profile Summary

Dr. Eugene Kim, DDS is a registered healthcare professional specializing in Dentist - General Practice in Omaha, NE. Practice services are available at 11110 FORT ST STE 106 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11110 Fort St Ste 106

Omaha, NE 681642183

Telephone 4024928300
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Omaha, NE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.8 Yrs
State Avg: 19.2 Yrs
Regional Practice Density
282 Specialists

Practicing in Omaha, NE (832 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: 2026-06-02
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NE 8195

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.

Secondary Practice Locations

220 E Erie St

Missouri Valley, IA 515551533

Phone: 7126424136

Practice Associates & Co-Workers

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

8 Associated Practitioners
NPI 1093060519

Doctor of Dental Surgery

NPI 1265925853

Doctor of Dental Surgery

Dr. Brad Erickson , DDS

Dentist - General Practice

NPI 1326779430

Doctor of Dental Surgery

NPI 1336021559

Doctor of Dental Surgery

Dr. Kyle Wiblishouser , DDS

Dentist - General Practice

NPI 1386262954

Doctor of Dental Surgery

NPI 1407237407

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 June 02, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location June 02, 2026

Registered at 11110 FORT ST STE 106, OMAHA, NE 681642183 (Tel: 4024928300)

📍
Updated Business Mailing Address June 02, 2026

Registered at 1710 N 175TH PLZ, OMAHA, NE 681186025 (Tel: 4022134675)

👤
Provider Name / Credentials Updated June 02, 2026

Recorded as EUGENE KIM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 02, 2026

Dentist (License #8195 in NE)

🟢
Initial NPI Registration & Enumeration June 02, 2026

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: 1528990678
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 02, 2026
Last Update: June 02, 2026
Sole Proprietor: Yes

Mailing Address

1710 N 175th Plz

Omaha, NE 681186025

Phone: 4022134675

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.