Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891235388 Individual Practitioner Male Practitioner

Dr. Edwin Gi Lim Kim , DMD

Dentist • Everett, WA

Professional Overview & Biography Verified Profile Summary

Dr. Edwin Kim, DMD is a registered healthcare professional specializing in Dentist in Everett, WA. Practice services are available at 1424 BROADWAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1424 Broadway

Everett, WA 982011720

Telephone 4257892000
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Everett, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 16.1 Yrs
Regional Practice Density
71 Specialists

Practicing in Everett, WA (2853 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: 2021-11-17
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License WA DE60685627

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.

Practice Associates & Co-Workers

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

23 Associated Practitioners
Gia Frank , NP

Nurse Practitioner

NPI 1043085293

Nurse Practitioner

Meriel Muffly , CDP

Counselor - Addiction (Substance Use Disorder)

NPI 1053461988
NPI 1053639070

Doctor of Medicine (M.D.)

NPI 1134293251

Doctor of Medicine (M.D.)

Tanya Bhatia

Internal Medicine

NPI 1194984161
June Longway , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1225023559

Psychiatric-Mental Health Nurse Practitioner

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location November 17, 2021

Registered at 1424 BROADWAY, EVERETT, WA 982011720 (Tel: 4257892000)

📍
Updated Business Mailing Address November 17, 2021

Registered at 1621 SEATTLE HILL RD APT T5, BOTHELL, WA 980124107 (Tel: 2064077377)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2021

Dentist (License #DE60685627 in WA)

NPI Profile Active March 02, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 02, 2017

Registered at 616 6TH ST, BREMERTON, WA 983371420 (Tel: 3604782366)

📍
Updated Business Mailing Address March 02, 2017

Registered at 4926 SW FORNEY ST, SEATTLE, WA 981163222 (Tel: 2064077377)

👤
Provider Name / Credentials Updated March 02, 2017

Recorded as EDWIN KIM, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2017

Dentist (License #DE606085627 in WA)

🟢
Initial NPI Registration & Enumeration March 02, 2017

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: 1891235388
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 02, 2017
Last Update: November 17, 2021
Sole Proprietor: No

Mailing Address

1621 Seattle Hill Rd Apt T5

Bothell, WA 980124107

Phone: 2064077377

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.