Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1467280479 Individual Practitioner Male Practitioner

Kitae Kim

Dentist - General Practice • Salem, OR

Professional Overview & Biography Verified Profile Summary

Kitae Kim is a registered healthcare professional specializing in Dentist - General Practice in Salem, OR. Practice services are available at 436 LANCASTER DR NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

436 Lancaster Dr Ne

Salem, OR 973014728

Telephone 5033918920

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Salem, OR

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

Practicing in Salem, 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: 2024-07-22
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License OR D12058

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 22, 2024

NPI status registered as active in NPPES database

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Updated Practice Location July 22, 2024

Registered at 436 LANCASTER DR NE, SALEM, OR 973014728 (Tel: 5033918920)

📍
Updated Business Mailing Address July 22, 2024

Registered at 17821 SW LOCKWOOD CT, SHERWOOD, OR 971406131

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Provider Name / Credentials Updated July 22, 2024

Recorded as KITAE KIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2024

Dentist (License #D12058 in OR)

🟢
Initial NPI Registration & Enumeration July 22, 2024

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: 1467280479
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 22, 2024
Last Update: July 22, 2024
Sole Proprietor: No

Mailing Address

17821 Sw Lockwood Ct

Sherwood, OR 971406131

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.