Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1699108563 Individual Practitioner Male Practitioner

Dr. Sung Kwang Kim , DDS

Dentist - General Practice • Bronx, NY

Professional Overview & Biography Verified Profile Summary

Dr. Sung Kwang Kim, DDS is a registered healthcare professional specializing in Dentist - General Practice in Bronx, NY. Practice services are available at 2740 3RD AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2740 3rd Ave

Bronx, NY 104554036

Telephone 9172631604
Associated Practice Facility / Clinic
🏢 Big Mart Pharmacy Inc Facility NPI 1861575805

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bronx, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.2 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
378 Specialists

Practicing in Bronx, NY (8411 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 NY 059693

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
05315619 (NY)
Commercial Insurance / Payer ID Caqh
13867803

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1962727073

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location January 14, 2019

Registered at 2740 3RD AVE, BRONX, NY 104554036 (Tel: 9172631604)

📍
Updated Business Mailing Address January 14, 2019

Registered at 2740 3RD AVE, BRONX, NY 104554036 (Tel: 9172631604)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2019

Dentist (License #059693 in NY)

📍
Updated Practice Location August 10, 2018

Registered at 2006 MADISON AVE FL 1, NEW YORK, NY 10035 (Tel: 2126330815)

📍
Updated Business Mailing Address August 10, 2018

Registered at 2006 MADISON AVE FL 1, NEW YORK, NY 100351217 (Tel: 2126330815)

NPI Profile Active December 15, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location December 15, 2015

Registered at 4601 16TH ST, SUITE 12, MOLINE, IL 612657000 (Tel: 3097970888)

📍
Updated Business Mailing Address December 15, 2015

Registered at 4601 16TH ST, SUITE 12, MOLINE, IL 612657000 (Tel: 3097970888)

👤
Provider Name / Credentials Updated December 15, 2015

Recorded as SUNG KWANG KIM, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 15, 2015

Dentist (License #019029612 in IL)

🟢
Initial NPI Registration & Enumeration August 15, 2013

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: 1699108563
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 15, 2013
Last Update: January 16, 2019
Sole Proprietor: Yes

Mailing Address

2740 3rd Ave

Bronx, NY 104554036

Phone: 7186180162

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.