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Active NPI 1427167170 Individual Practitioner Male Practitioner

Dr. Donald Kim , DDS

Dentist • Bend, OR

Professional Overview & Biography Verified Profile Summary

Dr. Donald Kim, DDS is a registered healthcare professional specializing in Dentist in Bend, OR. Practice services are available at 965 SW EMKAY DRIVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

965 Sw Emkay Drive
Suite 100

Bend, OR 97702

Telephone 5413830754
Fax 5413838128
Associated Practice Facility / Clinic
🏢 Awbrey Dental Group Pc Facility NPI 1437302957

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Bend, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
53 Specialists

Practicing in Bend, OR (1289 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: 2021-06-30
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License WA DE 7414

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

4 Associated Practitioners
Dr. Peter Yonan , DMD

Dentist - General Practice

NPI 1528068657

Doctor of Dental Medicine

NPI 1558505198

Doctor of Dental Medicine

NPI 1649809583
NPI 1710019765

Doctor of Dental Medicine

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location June 30, 2021

Registered at 965 SW EMKAY DRIVE, SUITE 100, BEND, OR 97702 (Tel: 5413830754)

📍
Updated Business Mailing Address June 30, 2021

Registered at 965 SW EMKAY DRIVE, SUITE 100, BEND, OR 97702 (Tel: 5413830754)

NPI Profile Active August 19, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 19, 2015

Registered at 500 SE 192ND AVE, SUITE 300, VANCOUVER, WA 986839509 (Tel: 3608924519)

📍
Updated Business Mailing Address August 19, 2015

Registered at 500 SE 192ND AVE, SUITE 300, VANCOUVER, WA 986839509 (Tel: 3608924519)

👤
Provider Name / Credentials Updated August 19, 2015

Recorded as DONALD KIM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 19, 2015

Dentist (License #DE 7414 in WA)

🟢
Initial NPI Registration & Enumeration August 29, 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: 1427167170
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 29, 2006
Last Update: June 30, 2021
Sole Proprietor: Yes

Mailing Address

965 Sw Emkay Drive, Suite 100

Bend, OR 97702

Phone: 5413830754

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.