Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720245772 Individual Practitioner Male Practitioner

Dr. Jong Wook Kim , DDS

Dentist - General Practice • Flushing, NY

Professional Overview & Biography Verified Profile Summary

Dr. Jong Kim, DDS is a registered healthcare professional specializing in Dentist - General Practice in Flushing, NY. Practice services are available at 3636 PRINCE ST STE 304 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3636 Prince St Ste 304

Flushing, NY 11354

Telephone 7183583636
Fax 7183533600
Associated Practice Facility / Clinic
🏢 Joeun Dental P.c. Facility NPI 1861280653

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Flushing, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
187 Specialists

Practicing in Flushing, 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 043564-1

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.

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location August 06, 2018

Registered at 3636 PRINCE ST STE 304, FLUSHING, NY 11354 (Tel: 7183583636)

📍
Updated Business Mailing Address August 06, 2018

Registered at 3636 PRINCE ST STE 304, FLUSHING, NY 113544031 (Tel: 7183583636)

👤
Provider Name / Credentials Updated August 06, 2018

Recorded as JONG KIM, DDS

NPI Profile Active May 19, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location May 19, 2008

Registered at 16 W 32ND ST, SUITE #507, NEW YORK, NY 100013814 (Tel: 2125639360)

📍
Updated Business Mailing Address May 19, 2008

Registered at 16 W 32ND ST, SUITE #507, NEW YORK, NY 100013814 (Tel: 2125639360)

👤
Provider Name / Credentials Updated May 19, 2008

Recorded as JOHN KIM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 19, 2008

Dentist (License #043564-1 in NY)

🟢
Initial NPI Registration & Enumeration May 19, 2008

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: 1720245772
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 19, 2008
Last Update: August 06, 2018
Sole Proprietor: No

Mailing Address

3636 Prince St Ste 304

Flushing, NY 113544031

Phone: 7183583636

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.