Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1689292294 Individual Practitioner Male Practitioner

Dr. Tong Wook Kim , DDS

Dentist - General Practice • Fort Worth, TX

Professional Overview & Biography Verified Profile Summary

Dr. Tong Kim, DDS is a registered healthcare professional specializing in Dentist - General Practice in Fort Worth, TX. Practice services are available at 4160 HERITAGE TRACE PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4160 Heritage Trace Pkwy

Fort Worth, TX 762445312

Telephone 8177414288
Associated Practice Facility / Clinic
🏢 Heritage Trace Dental, Pa Facility NPI 1013164284

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Fort Worth, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 7.0 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
289 Specialists

Practicing in Fort Worth, 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

CMS Verified: 2024-04-08
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 39316

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1588890834

Doctor of Dental Surgery

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location April 08, 2024

Registered at 4160 HERITAGE TRACE PKWY, FORT WORTH, TX 762445312 (Tel: 8177414288)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2024

Dentist (License #39316 in TX)

📍
Updated Practice Location September 11, 2023

Registered at 551 E ROUND GROVE RD, LEWISVILLE, TX 750678310 (Tel: 4695282454)

📍
Updated Business Mailing Address September 11, 2023

Registered at 1209 DAYLILY DR, ARGYLE, TX 762263209 (Tel: 8049558484)

📍
Updated Practice Location May 12, 2023

Registered at 4511 WESTERN CENTER BLVD, FORT WORTH, TX 761372628 (Tel: 8179183343)

📍
Updated Business Mailing Address May 12, 2023

Registered at 126 HUNTERS CREEK RD, FOREST, VA 245512516 (Tel: 8049558484)

NPI Profile Active July 09, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2020

Registered at 1614 GRAVES MILL RD, LYNCHBURG, VA 245024329 (Tel: 4343857307)

📍
Updated Business Mailing Address July 09, 2020

Registered at 6 N 6TH ST APT 2B, RICHMOND, VA 232192427 (Tel: 8049558484)

👤
Provider Name / Credentials Updated July 09, 2020

Recorded as TONG KIM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2020

Dentist (License #0401417000 in VA)

🟢
Initial NPI Registration & Enumeration July 09, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Tong Kim. Be the first to share your experience!

Sign in to leave a review for Dr. Tong Kim

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1689292294
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 09, 2020
Last Update: April 08, 2024
Sole Proprietor: No

Mailing Address

1209 Daylily Dr

Argyle, TX 762263209

Phone: 8049558484

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.