Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265403281 Individual Practitioner Male Practitioner

Dr. John Sung Kim , DMD

Dentist - General Practice • Vancouver, WA

Professional Overview & Biography Verified Profile Summary

Dr. John Kim, DMD is a registered healthcare professional specializing in Dentist - General Practice in Vancouver, WA. Practice services are available at 14406 NE 20TH AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

14406 Ne 20th Ave
Kaiser Permanente Salmon Creek Dental Office

Vancouver, WA 986861448

Telephone 3605713139
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Vancouver, WA

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

Practicing in Vancouver, 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 DE00010210

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.

Dentist - General Practice

NUCC Taxonomy Code: 1223G0001X

State License OR D8862

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

40 Associated Practitioners
Donna Wilson , RDH

Dental Hygienist

NPI 1063526077

Registered Dental Hygienist

NPI 1083728265

DENTALASSISTANT

Theresa Casey , RDH

Dental Hygienist

NPI 1114030434

Registered Dental Hygienist

Diane Hart , RDH

Dental Hygienist

NPI 1124135926

Registered Dental Hygienist

NPI 1124364344

RDA, EFDACERTIFIED

Scott Shepherd

Dentist - General Practice

NPI 1134142672

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 23, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location July 23, 2016

Registered at 14406 NE 20TH AVE, KAISER PERMANENTE SALMON CREEK DENTAL OFFICE, VANCOUVER, WA 986861448 (Tel: 3605713139)

📍
Updated Business Mailing Address July 23, 2016

Registered at 14406 NE 20TH AVE, KAISER PERMANENTE SALMON CREEK DENTAL OFFICE, VANCOUVER, WA 986861448 (Tel: 3605713139)

👤
Provider Name / Credentials Updated July 23, 2016

Recorded as JOHN KIM, D.M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2016

Dentist (License #DE00010210 in WA)

🟢
Initial NPI Registration & Enumeration January 28, 2006

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: 1265403281
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 28, 2006
Last Update: July 23, 2016
Sole Proprietor: No

Mailing Address

14406 Ne 20th Ave, Kaiser Permanente Salmon Creek Dental Office

Vancouver, WA 986861448

Phone: 3605713139

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.