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Active NPI 1427669290 Individual Practitioner Male Practitioner

Dr. Justin Kim , DDS

Dentist - General Practice • Covington, WA

Professional Overview & Biography Verified Profile Summary

Dr. Justin Kim, DDS is a registered healthcare professional specializing in Dentist - General Practice in Covington, WA. Practice services are available at 17265 SE WAX RD STE 101 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

17265 Se Wax Rd Ste 101

Covington, WA 980429102

Telephone 2536396868
Associated Practice Facility / Clinic
🏢 Baptistakwokdds1,pllc Facility NPI 1760098180

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Covington, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
16 Specialists

Practicing in Covington, WA (3345 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: 2026-04-23
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE61273915

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1275966178

Doctor of Dental Medicine

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location April 23, 2026

Registered at 17265 SE WAX RD STE 101, COVINGTON, WA 980429102 (Tel: 2536396868)

📍
Updated Business Mailing Address April 23, 2026

Registered at 17265 SE WAX RD STE 101, COVINGTON, WA 980429102 (Tel: 2536396868)

👤
Provider Name / Credentials Updated April 23, 2026

Recorded as JUSTIN KIM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 23, 2026

Dentist (License #DE61273915 in WA)

NPI Profile Active August 13, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location August 13, 2020

Registered at 12218 APPLE VALLEY RD STE 110, APPLE VALLEY, CA 923081704 (Tel: 2535613640)

📍
Updated Business Mailing Address August 13, 2020

Registered at 27431 SAN BERNARDINO AVE APT 209, REDLANDS, CA 923745084 (Tel: 2535613640)

👤
Provider Name / Credentials Updated August 13, 2020

Recorded as JUSTIN KIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2020

Dentist (License #DDS105138 in CA)

🟢
Initial NPI Registration & Enumeration August 13, 2020

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: 1427669290
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 13, 2020
Last Update: April 23, 2026
Sole Proprietor: Yes

Mailing Address

17265 Se Wax Rd Ste 101

Covington, WA 980429102

Phone: 2536396868

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.