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Active NPI 1447636618 Individual Practitioner Female Practitioner

Dr. Julie Kim , DMD

Dentist - General Practice • Kent, WA

Professional Overview & Biography Verified Profile Summary

Dr. Julie Kim, DMD is a registered healthcare professional specializing in Dentist - General Practice in Kent, WA. Practice services are available at 25610 104TH AVE SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

25610 104th Ave Se

Kent, WA 980307610

Telephone 2538509777
Associated Practice Facility / Clinic
🏢 Nurani, Mitchell, Kim, Pc Facility NPI 1053756049

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Kent, WA

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

Practicing in Kent, 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE60789538

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

5 Associated Practitioners
Peter Chung

Dentist - General Practice

NPI 1063726719
Dr. Hosan Park , DDS

Dentist - Periodontics

NPI 1104363019

Doctor of Dental Surgery

Dr. Tameem Anwar , DDS

Dentist - General Practice

NPI 1104999853

Doctor of Dental Surgery

Dr. Benjamin Dorantes , DDS

Dentist - General Practice

NPI 1144393893

Doctor of Dental Surgery

Thomas Faber

Dentist - Periodontics

NPI 1376607465

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active October 10, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 10, 2017

Registered at 25610 104TH AVE SE, KENT, WA 980307610 (Tel: 2538509777)

📍
Updated Business Mailing Address October 10, 2017

Registered at 3529 165TH PL SW, LYNNWOOD, WA 980373242

👤
Provider Name / Credentials Updated October 10, 2017

Recorded as JULIE KIM, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 10, 2017

Dentist (License #DE60789538 in WA)

NPI Profile Active August 10, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 10, 2015

Registered at 160 WASHINGTON ST, ROCHESTER, NH 038395510 (Tel: 6035093482)

📍
Updated Business Mailing Address August 10, 2015

Registered at 3529 165TH PL SW, LYNNWOOD, WA 980373242

👤
Provider Name / Credentials Updated August 10, 2015

Recorded as JULIE KIM, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 10, 2015

Dentist (License #04174 in NH)

🟢
Initial NPI Registration & Enumeration August 10, 2015

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: 1447636618
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 10, 2015
Last Update: October 10, 2017
Sole Proprietor: No

Mailing Address

3529 165th Pl Sw

Lynnwood, WA 980373242

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.