Healthcare Provider Details

I. General information

NPI: 1538076948
Provider Name (Legal Business Name): JOE N KIM DDS PS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2209 E MADISON ST
SEATTLE WA
98112-5336
US

IV. Provider business mailing address

2209 E MADISON ST
SEATTLE WA
98112-5336
US

V. Phone/Fax

Practice location:
  • Phone: 206-788-4488
  • Fax: 206-788-4487
Mailing address:
  • Phone: 206-788-4488
  • Fax: 206-788-4487

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOE N KIM
Title or Position: PRESIDENT/OWNER
Credential: DDS
Phone: 425-830-8473