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EAGLE MOUNTAIN DENTISTRY
NPI 1952748295
Clinic/Center - Dental in Fort Worth, TX

Active since May 28, 2013
8455 BOAT CLUB RD, SUITE 175, FORT WORTH, TX 76179(817) 750-5433 Get Directions Write a Review

NPPES record last updated: May 28, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eagle Mountain Dentistry NPPES

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

EAGLE MOUNTAIN DENTISTRY (NPI 1952748295) is a healthcare organization registered as a dental in Fort Worth, Texas and active in the NPI registry since May 2013. The organization lists Christopher Chaeho Kim, Dentist, as its authorized official.

NPPES Registry Identity

NPI1952748295
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameDR. CHRISTOPHER KIM, DDS, PA
Location Address8455 BOAT CLUB RD, SUITE 175Fort Worth, TX 76179-3632
Mailing Address1609 Overlook TerKeller, TX 76262-9321 · (817) 750-5433
Phone(817) 750-5433
Organization SubpartNo
Authorized OfficialChristopher Chaeho KimDentist · (817) 750-5433
Enumeration DateMay 28, 2013
✔ NPI 1952748295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in TX · 21561
8455 BOAT CLUB RD, Fort Worth, TX 76179
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Other Names 1

Doing Business AsEagle Mountain Dentistry

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 Dr. Christopher Kim, Dds, PA's NPI number?

The NPI number for Dr. Christopher Kim, Dds, PA is 1952748295. It was assigned to this organization in the NPPES registry on May 28, 2013. The provider is doing business as Eagle Mountain Dentistry.

Where is Dr. Christopher Kim, Dds, PA located?

Dr. Christopher Kim, Dds, PA is located at 8455 Boat Club Rd Suite 175, Fort Worth, TX 76179. The listed phone number is (817) 750-5433.

What is Dr. Christopher Kim, Dds, PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Dr. Christopher Kim, Dds, PA was last updated on May 28, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.