JUNGWON KIM (DDS) – Pediatric Dentistry, NPI 1528378700

JUNGWON KIM (DDS) is a healthcare provider. based in Puyallup, Washington. specializing in Pediatric Dentistry. They hold the professional credentials DDS. They hold a License No. 60735298 (WA). The NPI Number for JUNGWON KIM (DDS) is 1528378700

Main info

Female
Name
JUNGWON KIM (DDS)
NPI
1528378700
Phone
Not provided
Address
15420 79TH AVE E
Enumeration Date
20 October 2010
Last Update Date
12 July 2021

Contacts

Other Endpoint
https://imagixdental.com/locations/suwanee/contact-us/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness85
Years active:15State licenses:2Other namesUpdated within 12 months

Provider Addresses for JUNGWON KIM (DDS)

  • 15420 79TH AVE E

    PUYALLUP, WA 983758460

    Phone:

    Type: Mailing

  • 16810 MERIDIAN E

    PUYALLUP, WA 983759604

    Phone: (253) 848-5437

    Type: Location

  • 1922 SHENLEY PARK LN

    DULUTH, GA 300974942

    Phone: (404) 717-9122

    Type: Mailing

  • 350 TOWN CENTER AVE

    SUWANEE, GA 300246914

    Phone: (833) 210-4253

    Type: Location

  • 16810 Meridian E

    Puyallup, WA 983759604

    Phone: (253) 848-5437

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98375)

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Reviews

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Frequently asked questions

What unique ID ties claims to JUNGWON KIM (DDS)?
NPI 1528378700 is assigned to JUNGWON KIM (DDS) under the national enumeration system.
Is JUNGWON KIM (DDS)'s NPI currently valid?
The extract we use shows JUNGWON KIM (DDS) as active.
What field does JUNGWON KIM (DDS) work in?
You can think of JUNGWON KIM (DDS) as practicing within Pediatric Dentistry. Clinical services aligned with this taxonomy classification.
What location shows for JUNGWON KIM (DDS)?
We surface Puyallup, Washington for JUNGWON KIM (DDS) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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