Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1831350222 Individual Practitioner Male Practitioner

Dr. Jee Yup Kim , DDS

Dentist - General Practice • Laredo, TX

Professional Overview & Biography Verified Profile Summary

Dr. Jee Yup Kim, DDS is a registered healthcare professional specializing in Dentist - General Practice in Laredo, TX. Practice services are available at 1400 GUADALUPE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1400 Guadalupe St

Laredo, TX 780405315

Telephone 9562424245
Associated Practice Facility / Clinic
🏢 Planet Oral Healthcare Facility NPI 1578824835

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Laredo, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.0 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
49 Specialists

Practicing in Laredo, 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: 2021-06-07
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 29771

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 NY 054395-1

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

3931 47th Ave

Sunnyside, NY 111043576

Phone: 7183923634

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1255220380

Doctor of Dental Surgery

NPI 1952102055

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location June 07, 2021

Registered at 1400 GUADALUPE ST, LAREDO, TX 780405315 (Tel: 9562424245)

📍
Updated Business Mailing Address June 07, 2021

Registered at 409 WINEHART ST, LEWISVILLE, TX 750566310

NPI Profile Active April 15, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location April 15, 2010

Registered at 3931 47TH AVE, SUNNYSIDE, NY 111043576 (Tel: 7183923634)

📍
Updated Business Mailing Address April 15, 2010

Registered at 13702 NORTHERN BLVD APT 3B, FLUSHING, NY 113544173

👤
Provider Name / Credentials Updated April 15, 2010

Recorded as JEE YUP KIM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2010

Dentist (License #054395-1 in NY)

🟢
Initial NPI Registration & Enumeration June 19, 2008

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: 1831350222
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 19, 2008
Last Update: June 07, 2021
Sole Proprietor: Yes

Mailing Address

409 Winehart St

Lewisville, TX 750566310

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.