Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073807103 Individual Practitioner Male Practitioner

Sean Shin Kim

Dentist • Lindenhurst, NY

Professional Overview & Biography Verified Profile Summary

Sean Kim is a registered healthcare professional specializing in Dentist in Lindenhurst, NY. Practice services are available at 152 N WELLWOOD AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

152 N Wellwood Ave

Lindenhurst, NY 117574046

Telephone 6312261155
Associated Practice Facility / Clinic
🏢 Robert B Garelick Dds Pc Facility NPI 1952750937

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Lindenhurst, NY

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

Practicing in Lindenhurst, 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 056133

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

2 Associated Practitioners
NPI 1851415327

Doctor of Dental Surgery, PC

NPI 1982816617

Doctor of Dental Surgery

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active October 06, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 06, 2017

Registered at 152 N WELLWOOD AVE, LINDENHURST, NY 117574046 (Tel: 6312261155)

📍
Updated Business Mailing Address October 06, 2017

Registered at 426 PLATEAU AVE # 2, FORT LEE, NJ 070241726 (Tel: (201) 600-6704)

👤
Provider Name / Credentials Updated October 06, 2017

Recorded as SEAN KIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 06, 2017

Dentist (License #056133 in NY)

NPI Profile Active June 06, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location June 06, 2011

Registered at 17411 HORACE HARDING EXPY, FRESH MEADOWS, NY 113651527 (Tel: 7186701060)

📍
Updated Business Mailing Address June 06, 2011

Registered at 426 PLATEAU AVE # 2, FORT LEE, NJ 070241726 (Tel: 2016006704)

👤
Provider Name / Credentials Updated June 06, 2011

Recorded as SHIN KIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2011

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 06, 2011

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: 1073807103
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2011
Last Update: July 21, 2022
Sole Proprietor: Yes

Mailing Address

426 Plateau Ave # 2

Fort Lee, NJ 070241726

Phone: 2016006704

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.