Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1477643823 Individual Practitioner Male Practitioner

Dr. Paul Hoon Kim , DDS

Dentist - General Practice • Bend, OR

Professional Overview & Biography Verified Profile Summary

Dr. Paul Kim, DDS is a registered healthcare professional specializing in Dentist - General Practice in Bend, OR. Practice services are available at 461 NE GREENWOOD AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

461 Ne Greenwood Ave
Suite C

Bend, OR 97701

Telephone 5416785060
Fax 5413064004
Associated Practice Facility / Clinic
🏢 Chad E Stephenson Dds Pc Facility NPI 1780993089

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bend, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
72 Specialists

Practicing in Bend, OR (1994 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: 2022-12-16
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE00010592

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

11 Associated Practitioners
Kelli Huntington , CADC-I

Counselor - Addiction (Substance Use Disorder)

NPI 1184941445

CADCI

Nicole Hujar

Counselor - Addiction (Substance Use Disorder)

NPI 1336341569
Stephanie Lachance

Acupuncturist

NPI 1356178073
Terry Jolly

Counselor - Addiction (Substance Use Disorder)

NPI 1508068743
Julia Deskin

Massage Therapist

NPI 1538022629
Terry Dunning , CADC I

Counselor - Addiction (Substance Use Disorder)

NPI 1558602318

CADCI

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location December 16, 2022

Registered at 461 NE GREENWOOD AVE, SUITE C, BEND, OR 97701 (Tel: 5416785060)

📍
Updated Business Mailing Address December 16, 2022

Registered at 461 NE GREENWOOD AVE, SUITE C, BEND, OR 97701 (Tel: 5416785060)

NPI Profile Active August 24, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location August 24, 2007

Registered at 90 MDOS, 6900 ALDEN DR, F.E. WARREN AFB, WY 82005 (Tel: 3077731846)

📍
Updated Business Mailing Address August 24, 2007

Registered at 3306 RANDY RD, CHEYENNE, WY 820015940 (Tel: 9099135962)

👤
Provider Name / Credentials Updated August 24, 2007

Recorded as PAUL KIM, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2007

Dentist (License #DE00010592 in WA)

🟢
Initial NPI Registration & Enumeration October 14, 2006

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: 1477643823
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 14, 2006
Last Update: December 16, 2022
Sole Proprietor: No

Mailing Address

461 Ne Greenwood Ave, Suite C

Bend, OR 97701

Phone: 5416785060

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.