Prime Dental Group, LLC
NPI 1407097850ActiveOrganization· Dentist, General Practice· Kent, WA
Dentist, General Practice in Kent, Washington, registered in NPPES in March 2009. The authorized official on file is Yongjae Kim, DDS, Member.
Overview
| NPI | 1407097850 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 16, 2009 |
| Last updated in NPPES | Oct 22, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | DE00011116 | WA |
| Dentist, General Practice | 1223G0001X | DE00011115 | WA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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