Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1811198815 Deactivated / Inactive NPI Female Practitioner

Dr. Deborah Jun Kim , DMD

Dentist - General Practice • Williamstown, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Deborah Kim has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 29, 2007
NPI Deactivation Date November 13, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Deborah Kim, DMD was a registered Dentist - General Practice practicing in Williamstown, NJ. Throughout an active medical career spanning 13 years, Dr. Kim provided care at the practice location at 375 N MAIN ST until profile deactivation on 2020-11-13.

Practice Location & Contact Primary Location

Practice Address

375 N Main St
Suite C-4

Williamstown, NJ 080941481

Telephone 8568759333
Fax 8568754802
Associated Practice Facility / Clinic
🏢 Fore Tech Medical Facility NPI 1891787610

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Williamstown, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 28.1 Yrs
Regional Practice Density
5 Specialists

Practicing in Williamstown, NJ (4316 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 NJ 22DI01726600

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.

Practice Associates & Co-Workers

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

4 Associated Practitioners
Dr. James Malecka , DO

General Practice

NPI 1396955746

Doctor of Osteopathic Medicine (D.O.)

NPI 1487742813

Physical Therapist

NPI 1811861487

Licensed Acupuncturist

NPI 1952381188

Doctor of Chiropractic

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated November 13, 2020

Record deactivated on November 13, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 375 N MAIN ST, SUITE C-4, WILLIAMSTOWN, NJ 080941481 (Tel: 8568759333)

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Updated Business Mailing Address July 08, 2007

Registered at 375 N MAIN ST, SUITE C-4, WILLIAMSTOWN, NJ 080941481 (Tel: 8568759333)

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Provider Name / Credentials Updated July 08, 2007

Recorded as DEBORAH KIM, DMD

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

Dentist (License #22DI01726600 in NJ)

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Initial NPI Registration & Enumeration May 29, 2007

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: 1811198815
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 29, 2007
Last Update: July 08, 2007
Deactivation Date: November 13, 2020

Mailing Address

375 N Main St, Suite C-4

Williamstown, NJ 080941481

Phone: 8568759333

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.