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Active NPI 1205210929 Individual Practitioner Male Practitioner

Dr. Kenneth Kim , DMD

Dentist - General Practice • Magnolia, TX

Professional Overview & Biography Verified Profile Summary

Dr. Kenneth Kim, DMD is a registered healthcare professional specializing in Dentist - General Practice in Magnolia, TX. Practice services are available at 6519 FM 1488, WESTWOOD VILLAGE, under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6519 Fm 1488, Westwood Village,
#505

Magnolia, TX 77354

Telephone 2813058835
Associated Practice Facility / Clinic
🏢 Serenity Dental Care Pllc Facility NPI 1750790127

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Magnolia, TX

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

Practicing in Magnolia, 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 31108

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

20212 Eva St., #160

Montgomery, TX 77356

Phone: 6172813190

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active December 28, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address December 28, 2017

Registered at 20212 EVA ST., #160, MONTGOMERY, TX 77356 (Tel: 6172813190)

📍
Updated Practice Location December 28, 2017

Registered at 6519 FM 1488, WESTWOOD VILLAGE,, #505, MAGNOLIA, TX 77354 (Tel: 2813058835)

👤
Provider Name / Credentials Updated December 28, 2017

Recorded as KENNETH KIM, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2017

Dentist (License #31108 in TX)

NPI Profile Active July 13, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location July 13, 2015

Registered at 6519 FM 1488, WESTWOOD VILLAGE,, #505, MAGNOLIA, TX 77354 (Tel: 2813058835)

📍
Updated Business Mailing Address July 13, 2015

Registered at 10200 SIX PINES DR, #317, THE WOODLANDS, TX 77380 (Tel: 6172813190)

👤
Provider Name / Credentials Updated July 13, 2015

Recorded as KENNETH KIM, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2015

Dentist (License #31108 in TX)

🟢
Initial NPI Registration & Enumeration July 13, 2015

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: 1205210929
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2015
Last Update: March 17, 2018
Sole Proprietor: Yes

Mailing Address

20212 Eva St., #160

Montgomery, TX 77356

Phone: 6172813190

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.