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Active NPI 1962405969 Individual Practitioner Male Practitioner

Dr. Kim A Walter , DDS

Dentist • Mill Creek, WA

Professional Overview & Biography Verified Profile Summary

Dr. Kim Walter, DDS is a registered healthcare professional specializing in Dentist in Mill Creek, WA. Practice services are available at 16306 BOTHELL EVERETT HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

16306 Bothell Everett Hwy
Ste 2

Mill Creek, WA 980121283

Telephone 4257454661
Associated Practice Facility / Clinic
🏢 The Mill Creek Dentist Facility NPI 1205209913

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Mill Creek, WA

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

Practicing in Mill Creek, 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

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License WA DE00005339

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
5015508 (WA)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 16306 BOTHELL EVERETT HWY, STE 2, MILL CREEK, WA 980121283 (Tel: 4257454661)

📍
Updated Business Mailing Address July 09, 2007

Registered at 16306 BOTHELL EVERETT HWY, STE 2, MILL CREEK, WA 980121283 (Tel: 4257454661)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as KIM WALTER, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #DE00005339 in WA)

🟢
Initial NPI Registration & Enumeration May 23, 2005

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: 1962405969
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2005
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

16306 Bothell Everett Hwy, Ste 2

Mill Creek, WA 980121283

Phone: 4257454661

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.