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Active NPI 1659385367 Individual Practitioner Male Practitioner

Dr. Michael Hansoo Kim , DDS

Dentist • Ashburn, VA

Professional Overview & Biography Verified Profile Summary

Dr. Michael Kim, DDS is a registered healthcare professional specializing in Dentist in Ashburn, VA. Practice services are available at 21001 SYCOLIN RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

21001 Sycolin Rd
Suite 240

Ashburn, VA 201474073

Telephone 7037234224
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Ashburn, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.7 Yrs
Regional Practice Density
25 Specialists

Practicing in Ashburn, VA (2514 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License VA 0401413573

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Dentist

NUCC Taxonomy Code: 122300000X

State License MI 2901018597

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
4631948 (MI)
Medicaid State Provider ID
4631957 (MI)

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1013921717

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 28, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location August 28, 2014

Registered at 21001 SYCOLIN RD, SUITE 240, ASHBURN, VA 201474073 (Tel: 7037234224)

📍
Updated Business Mailing Address August 28, 2014

Registered at 21001 SYCOLIN RD, SUITE 240, ASHBURN, VA 201474073 (Tel: 7037234224)

👤
Provider Name / Credentials Updated August 28, 2014

Recorded as MICHAEL KIM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2014

Dentist (License #0401413573 in VA)

🟢
Initial NPI Registration & Enumeration July 28, 2006

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: 1659385367
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 28, 2006
Last Update: August 28, 2014
Sole Proprietor: No

Mailing Address

21001 Sycolin Rd, Suite 240

Ashburn, VA 201474073

Phone: 7037234224

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.