Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174014294 Individual Practitioner Male Practitioner

Dr. Jun Ki Kim , DMD

Dentist • Valhalla, NY

Professional Overview & Biography Verified Profile Summary

Dr. Jun Ki Kim, DMD is a registered healthcare professional specializing in Dentist in Valhalla, NY. Practice services are available at 100 WOODS RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

100 Woods Rd

Valhalla, NY 105951530

Telephone 9144937000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Valhalla, NY

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

Practicing in Valhalla, 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

CMS Verified: 2026-06-24
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License NJ 22DI03131300

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.

Dentist - Oral and Maxillofacial Surgery

NUCC Taxonomy Code: 1223S0112X

State License NJ 22DI03131300

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Lisa Sauer , NP

Nurse Practitioner - Neonatal, Critical Care

NPI 1003103136

Nurse Practitioner

NPI 1003108168

Doctor of Medicine (M.D.)

Dr. Radhika Voleti , MD

Internal Medicine

NPI 1003222449

Doctor of Medicine (M.D.)

Dr. Fareena Nawaz , MD

Internal Medicine

NPI 1003377060

Doctor of Medicine (M.D.)

Dr. Amro Aglan , MD

Student in an Organized Health Care Education/Training Program

NPI 1003485103

Doctor of Medicine (M.D.)

Brenna Megahey , FNP-BC

Nurse Practitioner - Family

NPI 1003792490

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

14 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 24, 2026

Dentist (License #22DI03131300 in NJ)

📍
Updated Practice Location June 09, 2022

Registered at 100 WOODS RD, VALHALLA, NY 105951530 (Tel: 9144937000)

📍
Updated Business Mailing Address June 09, 2022

Registered at 100 WOODS RD, VALHALLA, NY 105951530 (Tel: 9144937000)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2022

Dentist (License #DS041787 in PA)

📍
Updated Practice Location July 04, 2021

Registered at 909 WALNUT ST RM 300, PHILADELPHIA, PA 191075211 (Tel: 2155037118)

📍
Updated Business Mailing Address July 04, 2021

Registered at 909 WALNUT ST RM 300, PHILADELPHIA, PA 191075211 (Tel: 2155037118)

📍
Updated Practice Location July 02, 2018

Registered at 3867 UNION DEPOSIT RD, HARRISBURG, PA 17109 (Tel: 8609048863)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2018

Dentist (License #DS041787 in PA)

NPI Profile Active May 24, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 24, 2018

Registered at 3867 UNION DEPOSIT RD, HARRISBURG, PA 171095920 (Tel: 8609048863)

📍
Updated Business Mailing Address May 24, 2018

Registered at 350 N CLARK ST FL 6, C/O MARINA MILLER, CHICAGO, IL 606544712

👤
Provider Name / Credentials Updated May 24, 2018

Recorded as JUN KI KIM, D.M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 24, 2018

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: 1174014294
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2018
Last Update: June 24, 2026
Sole Proprietor: No

Mailing Address

100 Woods Rd

Valhalla, NY 105951530

Phone: 9144937000

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.