Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457703001 Individual Practitioner Female Practitioner

Dr. Sei Jin Kim , DMD

Dentist - General Practice • Gresham, OR

Professional Overview & Biography Verified Profile Summary

Dr. Sei Kim, DMD is a registered healthcare professional specializing in Dentist - General Practice in Gresham, OR. Practice services are available at 742 NE DIVISION ST STE 102 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

742 Ne Division St Ste 102

Gresham, OR 970303979

Telephone 5036672442
Associated Practice Facility / Clinic
🏢 Benjamin T Russell Dmd Llc Facility NPI 1881247039

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Gresham, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.0 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
43 Specialists

Practicing in Gresham, 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OR D11053

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Secondary Practice Locations

2730 Sw Moody Ave

Portland, OR 972015042

Phone: 5034948875

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Gerald Papador , DDS

Dentist - Periodontics

NPI 1598763427

Doctor of Dental Surgery

Dr. Benjamin Russell , DMD

Dentist - Periodontics

NPI 1922168343

Doctor of Dental Medicine

Career & Practice History Timeline

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

7 Historical Events
📍
Updated Practice Location June 27, 2019

Registered at 742 NE DIVISION ST STE 102, GRESHAM, OR 970303979 (Tel: 5036672442)

NPI Profile Active July 07, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 07, 2016

Registered at 2730 SW MOODY AVE, PORTLAND, OR 972015042 (Tel: 5034948875)

📍
Updated Business Mailing Address July 07, 2016

Registered at 1730 SW HARBOR WAY, UNIT 405, PORTLAND, OR 972015100 (Tel: 5038104806)

👤
Provider Name / Credentials Updated July 07, 2016

Recorded as SEI KIM, D.M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2016

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration July 07, 2016

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: 1457703001
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 07, 2016
Last Update: June 27, 2019
Sole Proprietor: No

Mailing Address

1730 Sw Harbor Way, Unit 405

Portland, OR 972015100

Phone: 5038104806

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.