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KOOK SUN KIM DMD
NPI 1164031431
Dentist - General Practice in Grand Prairie, TX

Active since July 23, 2020
2510 BARDIN RD STE 800, GRAND PRAIRIE, TX 75052(972) 623-0200 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2025, Jul 23, 2020 (2 updates tracked since 2020).

About Kook Sun Kim Dmd NPPES

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

KOOK SUN KIM DMD (NPI 1164031431) is an individual general practice provider in Grand Prairie, Texas, licensed in Texas (40802) and active in the NPI registry since July 2020. He maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1164031431
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameKOOK SUN KIMCredential: DMD
Location Address2510 BARDIN RD STE 800Grand Prairie, TX 75052-3838
Mailing Address2510 Bardin Rd Ste 800Grand Prairie, TX 75052-3838 · (972) 623-0200
Phone(972) 623-0200
Sole ProprietorNo
Enumeration DateJuly 23, 2020
Last NPPES UpdateMay 13, 20252 updates tracked since enumeration
NPPES CertifiedMay 13, 2025
✔ NPI 1164031431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in TX · 40802✔ Licensed in UT · 11703586-9922
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.
2510 BARDIN RD STE 800, Grand Prairie, TX 75052
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Secondary Practice Location 1

Location 14323 Hill StColumbia, SC 29207-6022 · Phone (803) 751-5178

Other Providers at the Same Location NPPES 2

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

ALAR DENTAL
Clinic/Center (Dental)
2510 BARDIN RD STE 800
GRAND PRAIRIE, TX 75052
Dallas County (972) 623-0200
ADORE DENTAL P.A
Clinic/Center (Dental)
2510 BARDIN RD STE 800
GRAND PRAIRIE, TX 75052
Dallas County (972) 623-0000

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 Kook Kim's NPI number?

The NPI number for Kook Kim is 1164031431. It was assigned to this individual provider in the NPPES registry on July 23, 2020.

Where is Kook Kim located?

Kook Kim practices at 2510 Bardin Rd Ste 800, Grand Prairie, TX 75052. The listed phone number is (972) 623-0200.

What is Kook Kim's specialty?

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

When was this NPI record last updated?

The NPPES record for Kook Kim was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.