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PRIME DENTAL GROUP, LLC
NPI 1407097850
Dentist - General Practice in Kent, WA

Active since March 16, 2009
302 WASHINGTON AVE S, KENT, WA 98032(253) 520-3866(253) 520-3844 Get Directions Write a Review

NPPES record last updated: October 22, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prime Dental Group, Llc NPPES

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

PRIME DENTAL GROUP, LLC (NPI 1407097850) is a healthcare organization registered as a general practice in Kent, Washington and active in the NPI registry since March 2009. The organization lists Yongjae Kim, Member, as its authorized official.

NPPES Registry Identity

NPI1407097850
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NamePRIME DENTAL GROUP, LLC
Location Address302 WASHINGTON AVE SKent, WA 98032-5713
Mailing AddressPo Box 4086Bellevue, WA 98009-4086
Phone(253) 520-3866
Fax(253) 520-3844
Organization SubpartNo
Authorized OfficialYongjae KimMember · (425) 457-3638
Enumeration DateMarch 16, 2009
Last NPPES UpdateOctober 22, 2009
✔ NPI 1407097850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in WA · DE00011116✔ Licensed in WA · DE00011115
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.
302 WASHINGTON AVE S, Kent, WA 98032
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Other Identifiers 1

Medicaid5059373WA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

OMNI AWARD DENTAL
Dentist
302 WASHINGTON AVE S
KENT, WA 98032
King County (206) 854-2187
BJ KIM
Dentist (General Practice)
302 WASHINGTON AVE S
KENT, WA 98032
King County (253) 520-3866
CONTINENTAL HEALTHCARE LLC
Dentist
302 WASHINGTON AVE S
KENT, WA 98032
King County (253) 520-3866
KIM LEUNG PLLC
Dentist (General Practice)
302 WASHINGTON AVE S
KENT, WA 98032
King County (253) 520-3866
DR. TREVOR KENJI TSUCHIKAWA D.D.S
Dentist
302 WASHINGTON AVE S
KENT, WA 98032
King County (206) 852-6835
TREVOR TSUCHIKAWA DDS
Dentist (General Practice)
302 WASHINGTON AVE S
KENT, WA 98032
King County (253) 520-3866

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 Prime Dental Group, LLC's NPI number?

The NPI number for Prime Dental Group, LLC is 1407097850. It was assigned to this organization in the NPPES registry on March 16, 2009.

Where is Prime Dental Group, LLC located?

Prime Dental Group, LLC is located at 302 Washington Ave S, Kent, WA 98032. The listed phone number is (253) 520-3866.

What is Prime Dental Group, LLC'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 Prime Dental Group, LLC was last updated on October 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.