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Active NPI 1053672022 Individual Practitioner Male Practitioner

Dr. Jae Seon Kim , DDS

Dentist - Prosthodontics • Seattle, WA

Professional Overview & Biography Verified Profile Summary

Dr. Jae Seon Kim, DDS is a registered healthcare professional specializing in Dentist - Prosthodontics in Seattle, WA. Practice services are available at 2046 WESTLAKE AVE N STE 204 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2046 Westlake Ave N Ste 204

Seattle, WA 981092753

Telephone 2062844505
Fax 2062844757
Associated Practice Facility / Clinic
🏢 Jae Seon Kim Dds Msd Pllc Facility NPI 1417873522

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Prosthodontics in Seattle, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.0 Yrs
State Avg: 27.0 Yrs
Regional Practice Density
34 Specialists

Practicing in Seattle, WA (103 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: 2026-06-25
Dentist - Prosthodontics Primary Specialty

NUCC Taxonomy Code: 1223P0700X

State License WA DE60223220

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1215192869

Doctor of Dental Surgery

Dr. Martin Campbell , DMD

Dentist - Periodontics

NPI 1760760847

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 June 25, 2026

Registered at 2046 WESTLAKE AVE N STE 204, SEATTLE, WA 981092753 (Tel: 2062844505)

📍
Updated Business Mailing Address June 25, 2026

Registered at 2046 WESTLAKE AVE N STE 204, SEATTLE, WA 981092753 (Tel: 2062844505)

👤
Provider Name / Credentials Updated June 25, 2026

Recorded as JAE SEON KIM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 25, 2026

Dentist (License #DE60223220 in WA)

NPI Profile Active June 06, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location June 06, 2012

Registered at 1430 JOHN WESLEY GILBERT DRIVE, GC-1024, AUGUSTA, GA 309121001 (Tel: 7067219633)

📍
Updated Business Mailing Address June 06, 2012

Registered at 1430 JOHN WESLEY GILBERT DRIVE, GC-1024, AUGUSTA, GA 309121001 (Tel: 7067219633)

👤
Provider Name / Credentials Updated June 06, 2012

Recorded as JAE KIM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2012

Dentist (License #DNF000366 in GA)

🟢
Initial NPI Registration & Enumeration June 06, 2012

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: 1053672022
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2012
Last Update: June 25, 2026
Sole Proprietor: Yes

Mailing Address

2046 Westlake Ave N Ste 204

Seattle, WA 981092753

Phone: 2062844505

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.