SAM D.K. KIM, DMD, PLLC
NPI 1619250016
Dentist - General Practice in Renton, WA

Active since September 21, 2011
1412 SW 43RD ST STE 109, RENTON, WA 98057(425) 999-1281 Get Directions Write a Review

NPPES record last updated: September 21, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Sam D.k. Kim, Dmd, Pllc NPPES

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

SAM D.K. KIM, DMD, PLLC (NPI 1619250016) is a healthcare organization registered as a general practice in Renton, Washington and active in the NPI registry since September 2011. The organization lists Dong Kyung Kim, Owner, as its authorized official.

NPPES Registry Identity

NPI1619250016
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSAM D.K. KIM, DMD, PLLC
Location Address1412 SW 43RD ST STE 109Renton, WA 98057-4803
Mailing Address1412 Sw 43rd St Ste 109Renton, WA 98057-4803 · (425) 999-1281
Organization SubpartNo
Authorized OfficialDong Kyung KimOwner · (425) 999-1281
Enumeration DateSeptember 21, 2011
NPI 1619250016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in WA · DE60127882
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.
1412 SW 43RD ST STE 109, Renton, WA 98057

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 SINGLE SPECIALTY GROUP

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 Sam D.K. Kim, Dmd, PLLC's NPI number?

The NPI number for Sam D.K. Kim, Dmd, PLLC is 1619250016. It was assigned to this organization in the NPPES registry on September 21, 2011.

Where is Sam D.K. Kim, Dmd, PLLC located?

Sam D.K. Kim, Dmd, PLLC is located at 1412 SW 43rd St Ste 109, Renton, WA 98057. The listed phone number is (425) 999-1281.

What is Sam D.K. Kim, Dmd, PLLC'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 Sam D.K. Kim, Dmd, PLLC was last updated on September 21, 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.