Kim and Lee, DMDS, PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

KIM AND LEE, DMDS, PLLC

Practice address

16825 Smokey Point Blvd
Arlington, WA 98223-8407

Phone

(360) 653-5197

NPI assigned

Aug 27, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Donghyun Kim, DMDNPI 1932503117

Title

Manager

Phone

(517) 896-3701

Specialties & licenses 1

Addresses

Other names 1

• BOULEVARD DENTAL ARLINGTON Doing business as

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donghyun Kim, DMD

  • Dentist
  • Arlington, WA
  • NPI 1932503117
  NPD Authorized official
• Nicholas Jon Forsythe, DMD

  • General Practice Dentistry
  • Arlington, WA
  • NPI 1760977854
  NPD (past)
• George Richard Hussey, DDS

  • Dentist
  • Arlington, WA
  • NPI 1093825895
  NPD (past)
• Eric Larson

  • General Practice Dentistry
  • Kingston, TN
  • NPI 1649696857
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1083448708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16825 SMOKEY POINT BLVD",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982238407",
            "telephone_number": "360-653-5197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16825 SMOKEY POINT BLVD",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982238407",
            "telephone_number": "360-653-5197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM AND LEE, DMDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DONGHYUN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "517-896-3701",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BOULEVARD DENTAL ARLINGTON",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kenneth J. Keroes, MSW
• Michel Keuss, COTA
• Kevin a Harrison, DDS, PS
• Leapha Anne Keylon, MSW, LCSW
• Rabia N Khara
• Donghyun Kim, DMD
• Edward Kim
• Hannah Linda Kim, M.D.
• Jena Kim
• Peter H Kim, D.D.S.

• Dentist in Arlington, WA
• Providers in Arlington, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.