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ANDY KIM DDS
NPI 1144505264
Dentist - General Practice in Benton, TN

Active since October 20, 2011
108 LIFESTYLE WAY, BENTON, TN 37307(423) 338-7777(423) 299-9167 Get Directions Write a Review

NPPES record last updated: October 20, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andy Kim Dds NPPES

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

ANDY KIM DDS (NPI 1144505264) is an individual general practice provider in Benton, Tennessee, licensed in Tennessee (DS0000009365) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1144505264
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameANDY KIMCredential: DDS
Location Address108 LIFESTYLE WAYBenton, TN 37307-3914
Mailing Address5407 Curry Creek RdCrestwood, KY 40014-9513 · (502) 640-6632
Phone(423) 338-7777
Fax(423) 299-9167
Sole ProprietorNo
Enumeration DateOctober 20, 2011
✔ NPI 1144505264 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in TN · DS0000009365
Definition
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.
108 LIFESTYLE WAY, Benton, TN 37307
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

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.

PATHMAVATHI S PENTIAH PT
Physical Therapist
108 LIFESTYLE WAY
BENTON, TN 37307
Polk County (423) 339-2320
TOTAL DENTAL CENTER
Dentist (General Practice)
108 LIFESTYLE WAY
BENTON, TN 37307
Polk County (423) 338-7777
MRS. PATRICIA ANN PAGAN MD
Family Medicine
108 LIFESTYLE WAY
BENTON, TN 37307
Polk County (423) 338-7777

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 Andy Kim's NPI number?

The NPI number for Andy Kim is 1144505264. It was assigned to this individual provider in the NPPES registry on October 20, 2011.

Where is Andy Kim located?

Andy Kim practices at 108 Lifestyle Way, Benton, TN 37307. The listed phone number is (423) 338-7777.

What is Andy Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Andy Kim accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Guardian and Humana and 1 other insurer list Andy Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andy Kim was last updated on October 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.