1. Home
  2. Directory
  3. Washington
  4. Everett
  5. Denturist
  6. NPI Profile

TAEIL KIM
NPI 1093579823
Denturist in Everett, WA

Active since February 12, 2024
1111 PACIFIC AVE STE A, EVERETT, WA 98201(425) 225-3411 Get Directions Write a Review

NPPES record last updated: February 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Taeil Kim NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAEIL KIM (NPI 1093579823) is an individual denturist in Everett, Washington, licensed in Washington (DN61453753) and active in the NPI registry since February 2024.

NPPES Registry Identity

NPI1093579823
Entity TypeIndividualMale
Primary Taxonomy122400000X
Provider Legal NameTAEIL KIM
Location Address1111 PACIFIC AVE STE AEverett, WA 98201-4200
Mailing Address22114 Se 278th PlMaple Valley, WA 98038-5073 · (253) 820-6437
Phone(425) 225-3411
Sole ProprietorNo
Enumeration DateFebruary 12, 2024
NPPES CertifiedFebruary 12, 2024
✔ NPI 1093579823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDenturistDental Providers
Taxonomy Code122400000X
License✔ Licensed in WA · DN61453753
Definition
A denturist is a licensed professional that serves patients with removable dental prosthetic oral health needs. A licensed denturist is trained in removable dental prosthetics and the fabrication of such devices.
1111 PACIFIC AVE STE A, Everett, WA 98201
Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RUSLAN GALUSHKIN
Denturist
1111 PACIFIC AVE STE A
EVERETT, WA 98201
Snohomish County (425) 629-0003
ALPINE DENTURE CENTER - EVERETT LLC
Denturist
1111 PACIFIC AVE STE A
EVERETT, WA 98201
Snohomish County (425) 595-4156
EPHRAIM ROLLOLAZO JR.
Denturist
1111 PACIFIC AVE STE A
EVERETT, WA 98201
Snohomish County (425) 374-8470

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Taeil Kim's NPI number?

The NPI number for Taeil Kim is 1093579823. It was assigned to this individual provider in the NPPES registry on February 12, 2024.

Where is Taeil Kim located?

Taeil Kim practices at 1111 Pacific Ave Ste A, Everett, WA 98201. The listed phone number is (425) 225-3411.

What is Taeil Kim's specialty?

The primary specialty registered for this NPI is Denturist with taxonomy code 122400000X.

When was this NPI record last updated?

The NPPES record for Taeil Kim was last updated on February 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.