Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093284929 Individual Practitioner Male Practitioner

Dr. Young Kyu Kim , DMD

Dentist - General Practice • Mansfield, TX

Professional Overview & Biography Verified Profile Summary

Dr. Young Kim, DMD is a registered healthcare professional specializing in Dentist - General Practice in Mansfield, TX. Practice services are available at 2771 E BROAD ST STE 221 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2771 E Broad St Ste 221

Mansfield, TX 760639157

Telephone 8174732277
Associated Practice Facility / Clinic
🏢 Alterra Dental Pllc Facility NPI 1962890525

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Mansfield, TX

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

Practicing in Mansfield, 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: 2023-11-21
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 35577

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 KY 10208

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

4654 S Cooper St Ste 316

Arlington, TX 760175860

Phone: 8179849201

Practice Associates & Co-Workers

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

4 Associated Practitioners
Sebastian Mejia

Dentist - General Practice

NPI 1548831258
Dr. Opeyemi Fadeyi , DDS

Dentist - General Practice

NPI 1669033189

Doctor of Dental Surgery

Dr. Amjad Saleh , DDS

Dentist - General Practice

NPI 1699336552

Doctor of Dental Surgery

NPI 1750089744

Career & Practice History Timeline

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

15 Historical Events
📍
Updated Practice Location November 21, 2023

Registered at 2771 E BROAD ST STE 221, MANSFIELD, TX 760639157 (Tel: 8174732277)

👤
Provider Name / Credentials Updated November 21, 2023

Recorded as YOUNG KIM, DMD

📍
Updated Practice Location July 24, 2021

Registered at 4654 S COOPER ST STE 316, ARLINGTON, TX 760175860 (Tel: 8179849201)

📍
Updated Practice Location June 07, 2021

Registered at 925 N BRYAN BELT LINE RD STE 106, MESQUITE, TX 751492541 (Tel: 9722883200)

📍
Updated Business Mailing Address June 07, 2021

Registered at 925 N BRYAN BELT LINE RD STE 106, MESQUITE, TX 751492541 (Tel: 9722883200)

👤
Provider Name / Credentials Updated June 07, 2021

Recorded as YOUNG KYU KIM, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2021

Dentist (License #35577 in TX)

📍
Updated Practice Location October 30, 2019

Registered at 3237 DAWES DR, DALLAS, TX 752115760 (Tel: 2143333335)

📍
Updated Business Mailing Address October 30, 2019

Registered at 3237 DAWES DR, DALLAS, TX 752115760

NPI Profile Active November 20, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location November 20, 2018

Registered at 8076 US 42, FLORENCE, KY 410421474 (Tel: 8592829741)

📍
Updated Business Mailing Address November 20, 2018

Registered at 8076 US 42, FLORENCE, KY 410421474

👤
Provider Name / Credentials Updated November 20, 2018

Recorded as YOUNG KIM, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2018

Dentist (License #10208 in KY)

🟢
Initial NPI Registration & Enumeration November 20, 2018

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: 1093284929
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 20, 2018
Last Update: November 21, 2023
Sole Proprietor: Yes

Mailing Address

925 N Bryan Belt Line Rd Ste 106

Mesquite, TX 751492541

Phone: 9722883200

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.