Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1720218910 Individual Practitioner Male Practitioner

John Y Kim

Dentist • Phila, PA

Professional Overview & Biography Verified Profile Summary

John Kim is a registered healthcare professional specializing in Dentist in Phila, PA. Practice services are available at 1936 COTTMAN AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1936 Cottman Ave

Phila, PA 191113800

Telephone 2157280777
Associated Practice Facility / Clinic
🏢 Weldon Ltd Facility NPI 1891990842

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Phila, PA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
20 Specialists

Practicing in Phila, PA (3554 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License PA DS024115L

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 22, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location July 22, 2009

Registered at 1936 COTTMAN AVE, PHILA, PA 191113800 (Tel: 2157280777)

📍
Updated Business Mailing Address July 22, 2009

Registered at 921 FANSHAWE ST, PHILA, PA 191114801 (Tel: 2157796957)

👤
Provider Name / Credentials Updated July 22, 2009

Recorded as JOHN KIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 22, 2009

Dentist (License #DS024115L in PA)

🟢
Initial NPI Registration & Enumeration July 22, 2009

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: 1720218910
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 22, 2009
Last Update: July 22, 2009
Sole Proprietor: Yes

Mailing Address

921 Fanshawe St

Phila, PA 191114801

Phone: 2157796957

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.