Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1760816607 Individual Practitioner Female Practitioner

Dr. Kelly Heejung Kim , DDS

Dentist - General Practice • Aubrey, TX

Professional Overview & Biography Verified Profile Summary

Dr. Kelly Kim, DDS is a registered healthcare professional specializing in Dentist - General Practice in Aubrey, TX. Practice services are available at 26742 E. UNIVERSITY DR. under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

26742 E. University Dr.
Building 200, Suite 220

Aubrey, TX 76227

Telephone 9728451234
Fax 9728451212
Associated Practice Facility / Clinic
🏢 Navo Dental Professionals Pc Facility NPI 1679048292

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Aubrey, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
8 Specialists

Practicing in Aubrey, TX (10570 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 TX 29161

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.

Secondary Practice Locations

4229 E Lancaster Ave

Ft Worth, TX 761033222

Phone: 8174130712

5404 Preston Rd Ste 108

Frisco, TX 750347471

Phone: 9729639104

106 E Main St

Grand Prairie, TX 75050

Phone: 9723144867

Career & Practice History Timeline

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

14 Historical Events
📍
Updated Practice Location November 26, 2018

Registered at 26742 E. UNIVERSITY DR., BUILDING 200, SUITE 220, AUBREY, TX 76227 (Tel: 9728451234)

📍
Updated Practice Location October 11, 2018

Registered at 106 E MAIN ST, GRAND PRAIRIE, TX 75050 (Tel: 9723144867)

📍
Updated Business Mailing Address October 11, 2018

Registered at 15517 BRYANT PARK AVE, PROSPER, TX 750781711 (Tel: 6823084015)

NPI Profile Active June 19, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location June 19, 2017

Registered at 3115 W PARKER RD STE C538, PLANO, TX 750238137 (Tel: (972) 943-0207)

📍
Updated Business Mailing Address June 19, 2017

Registered at 3115 W PARKER RD STE C538, PLANO, TX 750238137 (Tel: (972) 943-0207)

👤
Provider Name / Credentials Updated June 19, 2017

Recorded as KELLY KIM, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 19, 2017

Dentist (License #29161 in TX)

NPI Profile Active July 23, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 23, 2015

Registered at 4229 E LANCASTER AVE, FT WORTH, TX 761033222 (Tel: 8174130712)

📍
Updated Business Mailing Address July 23, 2015

Registered at 2500 STATE HIGHWAY 121 APT 918, EULESS, TX 760396023

👤
Provider Name / Credentials Updated July 23, 2015

Recorded as KELLY KIM, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2015

Dentist (License #29161 in TX)

🟢
Initial NPI Registration & Enumeration August 28, 2013

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: 1760816607
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 28, 2013
Last Update: November 26, 2018
Sole Proprietor: Yes

Mailing Address

15517 Bryant Park Ave

Prosper, TX 750781711

Phone: 6823084015

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.