YEON SOO KIM DDS
NPI 1851016414
Dentist in Moline, IL

Q: What is Yeon Soo Kim's NPI number?

The NPI number for Yeon Soo Kim is 1851016414. It was assigned to this individual provider in the NPPES registry on October 6, 2022.

Q: What is Yeon Soo Kim's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Yeon Soo Kim was last updated on October 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 06, 2022

4601 16TH ST, MOLINE, IL 61265(309) 797-0888 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Yeon Soo Kim Dds NPPES

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

YEON SOO KIM DDS (NPI 1851016414) is an individual dentist in Moline, Illinois, licensed in Illinois (019.033971) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1851016414

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameYEON SOO KIMCredential: DDS

Location Address4601 16TH STMoline, IL 61265-7000

Mailing Address4601 16th StMoline, IL 61265-7000 · (309) 797-0888

Phone(309) 797-0888

Sole ProprietorNo

Enumeration DateOctober 6, 2022

NPPES CertifiedOctober 6, 2022

✔ NPI 1851016414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IL · 019.033971

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

4601 16TH ST, Moline, IL 61265

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

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.

DR. HOGEUN CHI

Dentist (General Practice)

4601 16TH ST
MOLINE, IL 61265

Rock Island County (309) 797-0888

SECURE DENTAL II

Dentist (General Practice)

4601 16TH ST, UNIT 12
MOLINE, IL 61265

Rock Island County (815) 708-2762

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 Yeon Soo Kim's NPI number?

The NPI number for Yeon Soo Kim is 1851016414. It was assigned to this individual provider in the NPPES registry on October 6, 2022.

Where is Yeon Soo Kim located?

Yeon Soo Kim practices at 4601 16th St, Moline, IL 61265. The listed phone number is (309) 797-0888.

What is Yeon Soo Kim's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Yeon Soo Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 1 other insurer list Yeon Soo Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Yeon Soo Kim was last updated on October 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.