Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1437610516 Individual Practitioner Male Practitioner

Dr. Minwoo Kim , DDS

Dentist • Puyallup, WA

Professional Overview & Biography Verified Profile Summary

Dr. Minwoo Kim, DDS is a registered healthcare professional specializing in Dentist in Puyallup, WA. Practice services are available at 10217 125TH STREET CT E FL 3 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10217 125th Street Ct E Fl 3

Puyallup, WA 983742761

Telephone 2538644760
Fax 2538644766
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Puyallup, WA

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

Practicing in Puyallup, 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: 2025-02-21
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License NM DD5207

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License WA DE61402673

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License WA DE61402673

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.

Secondary Practice Locations

4201 Central Ave Nw Ste F1

Albuquerque, NM 871051669

Phone: 5058437172

Practice Associates & Co-Workers

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

4 Associated Practitioners
Dr. Shannon Farazi , DMD

Dentist - General Practice

NPI 1326474693

Doctor of Dental Medicine

Parneet Sidhu

Health Educator

NPI 1457124612
Robert Kane

Dentist - General Practice

NPI 1487730669
Dr. Brent Tran , DDS

Dentist - General Practice

NPI 1689750390

Doctor of Dental Surgery

Career & Practice History Timeline

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

13 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 21, 2025

Dentist (License #DE61402673 in WA)

📍
Updated Practice Location September 24, 2024

Registered at 10217 125TH STREET CT E FL 3, PUYALLUP, WA 983742761 (Tel: 2538644760)

📍
Updated Business Mailing Address September 24, 2024

Registered at PO BOX 34703, SEATTLE, WA 981241703

📍
Updated Practice Location August 22, 2019

Registered at 4201 CENTRAL AVE NW STE F1, ALBUQUERQUE, NM 871051669 (Tel: 5058437172)

📍
Updated Business Mailing Address August 22, 2019

Registered at 7270 HIGHWAY 2, COMMERCE CITY, CO 800221723 (Tel: 3036698202)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2019

Dentist (License #DD5207 in NM)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2019

Student in an Organized Health Care Education/Training Program (License #TD-00-118 in NM)

NPI Profile Active March 29, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location March 29, 2019

Registered at MSC 06-3500 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 871310001 (Tel: 5059254031)

📍
Updated Business Mailing Address March 29, 2019

Registered at MSC 06-3500 1 UNIVERSITY OF NEW MEXICO, ALBUQUERQUE, NM 871310001 (Tel: 5059254031)

👤
Provider Name / Credentials Updated March 29, 2019

Recorded as MINWOO KIM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2019

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration March 29, 2019

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: 1437610516
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 29, 2019
Last Update: February 21, 2025
Sole Proprietor: No

Mailing Address

Po Box 34703

Seattle, WA 981241703

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.