Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1619293958 Individual Practitioner Female Practitioner

Dr. Tae Yon Kim , DDS

Dentist • Commack, NY

Professional Overview & Biography Verified Profile Summary

Dr. Tae Kim, DDS is a registered healthcare professional specializing in Dentist in Commack, NY. Practice services are available at 6080 JERICHO TPKE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6080 Jericho Tpke
Suite 207

Commack, NY 117252850

Telephone 6314991212
Fax 6314992389
Associated Practice Facility / Clinic
🏢 Sb Psychiatric Services Pllc Facility NPI 1932264728

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Commack, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
14 Specialists

Practicing in Commack, NY (6355 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License NY 048503

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

4 Associated Practitioners
Dr. Paul Brandoff , DDS

Dentist - General Practice

NPI 1265689962

Doctor of Dental Surgery

Dr. Michael Palmieri , DDS

Dentist - General Practice

NPI 1568881241

Doctor of Dental Surgery

Dr. George Korologos , DDS

Dentist - General Practice

NPI 1649284837

Doctor of Dental Surgery

Dr. Robert Dubois , DDS

Dentist - Prosthodontics

NPI 1679745350

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 September 22, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location September 22, 2010

Registered at 6080 JERICHO TPKE, SUITE 207, COMMACK, NY 117252850 (Tel: 6314991212)

📍
Updated Business Mailing Address September 22, 2010

Registered at 6080 JERICHO TPKE, SUITE 207, COMMACK, NY 117252850 (Tel: 6314991212)

👤
Provider Name / Credentials Updated September 22, 2010

Recorded as TAE KIM, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 22, 2010

Dentist (License #048503 in NY)

🟢
Initial NPI Registration & Enumeration April 12, 2010

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: 1619293958
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 12, 2010
Last Update: September 22, 2010
Sole Proprietor: No

Mailing Address

6080 Jericho Tpke, Suite 207

Commack, NY 117252850

Phone: 6314991212

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.