Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1730416900 Individual Practitioner Male Practitioner

Dr. Ken Kwangdeok Kim , DMD

Dentist - General Practice • Plainview, NY

Professional Overview & Biography Verified Profile Summary

Dr. Ken Kim, DMD is a registered healthcare professional specializing in Dentist - General Practice in Plainview, NY. Practice services are available at 1163 OLD COUNTRY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1163 Old Country Rd

Plainview, NY 118035029

Telephone 5169327171
Fax 5169327707

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Plainview, NY

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

Practicing in Plainview, 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 055244

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License NJ 22DI02424400

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

2 Associated Practitioners
NPI 1700169307

Registered Pharmacist

NPI 1902142268

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 13, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location April 13, 2011

Registered at 1163 OLD COUNTRY RD, PLAINVIEW, NY 118035029 (Tel: 5169327171)

📍
Updated Business Mailing Address April 13, 2011

Registered at 1163 OLD COUNTRY RD, PLAINVIEW, NY 118035029 (Tel: 5169327171)

👤
Provider Name / Credentials Updated April 13, 2011

Recorded as KEN KIM, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 13, 2011

Dentist (License #055244 in NY)

🟢
Initial NPI Registration & Enumeration November 09, 2009

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: 1730416900
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 09, 2009
Last Update: April 13, 2011
Sole Proprietor: No

Mailing Address

1163 Old Country Rd

Plainview, NY 118035029

Phone: 5169327171

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.