1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Dentist
  6. NPI Profile

PEACHTREE DENTAL
NPI 1811303241
Dentist - General Practice in Portland, OR

Active since July 07, 2014
13056 SE DIVISION ST, PORTLAND, OR 97236(503) 760-1341 Get Directions Write a Review

NPPES record last updated: July 7, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Peachtree Dental NPPES

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

PEACHTREE DENTAL (NPI 1811303241) is a healthcare organization registered as a general practice in Portland, Oregon and active in the NPI registry since July 2014. The organization lists Seong Kim, Owner, as its authorized official.

NPPES Registry Identity

NPI1811303241
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSEONG W. KIM, DMD, LLC
Location Address13056 SE DIVISION STPortland, OR 97236-3039
Mailing Address13056 Se Division StPortland, OR 97236-3039
Phone(503) 760-1341
Organization SubpartNo
Authorized OfficialSeong KimOwner · (503) 473-4839
Enumeration DateJuly 7, 2014
✔ NPI 1811303241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in OR · D9495
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.
13056 SE DIVISION ST, Portland, OR 97236
Open in Google Maps ↗

Other Names 1

Doing Business AsPeachtree Dental

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

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.

NAWAL KARAM
Dentist
13056 SE DIVISION ST
PORTLAND, OR 97236
Multnomah County (503) 760-1341
MRS. CAROL MARIE SOMMERS RDH
Dental Hygienist
13056 SE DIVISION ST
PORTLAND, OR 97236
Multnomah County (503) 760-1341
DR. JERRY L HOPKINS D.M.D
Dentist
13056 SE DIVISION ST
PORTLAND, OR 97236
Multnomah County (503) 760-1341

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 Seong W. Kim, Dmd, LLC's NPI number?

The NPI number for Seong W. Kim, Dmd, LLC is 1811303241. It was assigned to this organization in the NPPES registry on July 7, 2014. The provider is doing business as Peachtree Dental.

Where is Seong W. Kim, Dmd, LLC located?

Seong W. Kim, Dmd, LLC is located at 13056 SE Division St, Portland, OR 97236. The listed phone number is (503) 760-1341.

What is Seong W. Kim, Dmd, 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 Seong W. Kim, Dmd, LLC was last updated on July 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.