Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164031431 Individual Practitioner Male Practitioner

Dr. Kook Sun Kim , DMD

Dentist - General Practice • Grand Prairie, TX

Professional Overview & Biography Verified Profile Summary

Dr. Kook Kim, DMD is a registered healthcare professional specializing in Dentist - General Practice in Grand Prairie, TX. Practice services are available at 2510 BARDIN RD STE 800 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2510 Bardin Rd Ste 800

Grand Prairie, TX 750523838

Telephone 9726230200
Associated Practice Facility / Clinic
🏢 Adore Dental P.a Facility NPI 1689298259

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Grand Prairie, TX

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

Practicing in Grand Prairie, 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: 2025-05-13
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 40802

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License UT 11703586-9922

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

4323 Hill St

Columbia, SC 292076022

Phone: 8037515178

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location May 13, 2025

Registered at 2510 BARDIN RD STE 800, GRAND PRAIRIE, TX 750523838 (Tel: 9726230200)

📍
Updated Business Mailing Address May 13, 2025

Registered at 2510 BARDIN RD STE 800, GRAND PRAIRIE, TX 750523838 (Tel: 9726230200)

📍
Updated Practice Location June 27, 2022

Registered at 4323 HILL ST, COLUMBIA, SC 292076022 (Tel: 8037515178)

NPI Profile Active July 23, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location July 23, 2020

Registered at 4590 STROM THURMOND BLVD, COLUMBIA, SC 292075305 (Tel: 8037515178)

📍
Updated Business Mailing Address July 23, 2020

Registered at 4590 STROM THURMOND BLVD, COLUMBIA, SC 292075305 (Tel: 8037515178)

👤
Provider Name / Credentials Updated July 23, 2020

Recorded as KOOK KIM, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2020

Dentist (License #11703586-9922 in UT)

🟢
Initial NPI Registration & Enumeration July 23, 2020

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: 1164031431
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 23, 2020
Last Update: May 13, 2025
Sole Proprietor: No

Mailing Address

2510 Bardin Rd Ste 800

Grand Prairie, TX 750523838

Phone: 9726230200

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.