Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1841612744 Individual Practitioner Male Practitioner

Dr. Youngdae Kim , DMD

Dentist - General Practice • Springfield, VA

Professional Overview & Biography Verified Profile Summary

Dr. Youngdae Kim, DMD is a registered healthcare professional specializing in Dentist - General Practice in Springfield, VA. Practice services are available at 5417D BACKLICK RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5417d Backlick Rd

Springfield, VA 221513915

Telephone 7039883386
Fax 7039883389
Associated Practice Facility / Clinic
🏢 Yk Dental Pc Facility NPI 1235682790

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Springfield, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.6 Yrs
Regional Practice Density
61 Specialists

Practicing in Springfield, VA (3535 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 VA 0401415145

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License PA DS039841

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 01, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 01, 2016

Registered at 5417D BACKLICK RD, SPRINGFIELD, VA 221513915 (Tel: 7039883386)

📍
Updated Business Mailing Address August 01, 2016

Registered at 5417D BACKLICK RD, SPRINGFIELD, VA 221513915 (Tel: 7039883386)

👤
Provider Name / Credentials Updated August 01, 2016

Recorded as YOUNGDAE KIM, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2016

Dentist (License #0401415145 in VA)

🟢
Initial NPI Registration & Enumeration January 10, 2014

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: 1841612744
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 10, 2014
Last Update: August 01, 2016
Sole Proprietor: No

Mailing Address

5417d Backlick Rd

Springfield, VA 221513915

Phone: 7039883386

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.