Dr Kathy Sm Kim, DDS - Dentist in Beaverton, OR

Dr Kathy Sm Kim, DDS is a Dentist based in Beaverton, Oregon. Dr Kathy Sm Kim is licensed to practice in Oregon (license number D6477) and her current practice location is 4150 Sw 100th Ave, Beaverton, Oregon. She can be reached at her office (for appointments etc.) via phone at (503) 627-0619.

NPI number for Dr Kathy Sm Kim is 1225245004 and her current mailing address is 4150 Sw 110th Ave, Beaverton, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225245004.

Contact Information

Dr Kathy Sm Kim, DDS
4150 Sw 100th Ave,
Beaverton, OR 97005
(503) 627-0619
(503) 671-9054



Healthcare Provider's Profile

Full NameDr Kathy Sm Kim
GenderFemale
SpecialityDentist
Location4150 Sw 100th Ave, Beaverton, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1225245004
  • Provider Enumeration Date: 05/17/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Kathy Sm Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225245004NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist D6477 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kathy Sm Kim is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kathy Sm Kim, DDS
4150 Sw 110th Ave,
Beaverton, OR 97005-3016

Ph: (503) 627-0619
Dr Kathy Sm Kim, DDS
4150 Sw 100th Ave,
Beaverton, OR 97005

Ph: (503) 627-0619

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› Verified 1 days ago


Dentist in Beaverton, OR

Mark O Shoger, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 14780 Sw Osprey Dr, Suite 345, Beaverton, OR 97007
Phone: 503-579-2495    
Dr. Catherine Bom Kim, D.M.D.
Dentist
Medicare: Medicare Enrolled
Practice Location: 4925 Sw Griffith Dr, Beaverton, OR 97005
Phone: 855-433-6825    
Dr. Jonathan Juyun Kim, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 4925 Sw Griffith Dr, Beaverton, OR 97005
Phone: 855-433-6825    
Dr. Mark Daniel Alder, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 5050 Sw Griffith Dr, Beaverton, OR 97005
Phone: 503-641-9010    Fax: 503-641-7660
Dr. Susan Jane Antony, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 17675 Sw Tualatin Valley Hwy, Beaverton, OR 97006
Phone: 503-259-3160    Fax: 503-259-3169
Megan L Nevills Moseley, DMD
Dentist
Medicare: Medicare Enrolled
Practice Location: 14500 Sw Murray Scholls Dr Ste 101, Beaverton, OR 97007
Phone: 503-521-1333    Fax: 503-524-9777
Ashley Puleo Schaaf, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 14795 Sw Murray Scholls Dr, Suite 116, Beaverton, OR 97007
Phone: 503-579-0304    Fax: 503-579-7866

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