DR. TONG WOOK KIM DDS
NPI 1689292294
Dentist - General Practice in Fort Worth, TX

Active since July 09, 2020
4160 HERITAGE TRACE PKWY, FORT WORTH, TX 76244(817) 741-4288 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 8, 2024, May 12, 2023, Jul 9, 2020 (3 updates tracked since 2020).

About Dr. Tong Wook Kim Dds NPPES

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

DR. TONG WOOK KIM DDS (NPI 1689292294) is an individual general practice provider in Fort Worth, Texas, licensed in Texas (39316) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1689292294
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. TONG WOOK KIMCredential: DDS
Location Address4160 HERITAGE TRACE PKWYFort Worth, TX 76244-5312
Mailing Address1209 Daylily DrArgyle, TX 76226-3209 · (804) 955-8484
Sole ProprietorNo
Enumeration DateJuly 9, 2020
Last NPPES UpdateApril 8, 20243 updates tracked since enumeration
NPPES CertifiedApril 8, 2024
NPI 1689292294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in TX · 39316
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.

4160 HERITAGE TRACE PKWY, Fort Worth, TX 76244

Accepted Insurance

Other Providers at the Same Location NPPES 4

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

Optometrist
4160 HERITAGE TRACE PKWY, STE. 400
FORT WORTH, TX 76244
Dentist
4160 HERITAGE TRACE PKWY, #408
FORT WORTH, TX 76244
Massage Therapist
4160 HERITAGE TRACE PKWY
FORT WORTH, TX 76244
Family Medicine
4160 HERITAGE TRACE PKWY
FORT WORTH, TX 76244

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689292294, enumerated as an "individual" on July 09, 2020.

The provider is located at 4160 HERITAGE TRACE PKWY FORT WORTH, TX 76244 and the phone number is (817) 741-4288.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Ambetter. Please consult your insurance carrier or call the provider to verify.