OrganizationActive
Prime Dental Group, LLC
NPI 1407097850 · General Practice Dentistry · Kent, WA
Prime Dental Group, LLC is a General Practice Dentistry organization in Kent, WA (NPI 1407097850).
Provider details
- NPI number
- 1407097850
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Yongjae Kim, Member(425) 457-3638
- License
- DE00011115 (WA)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
302 Washington Ave S
Kent, WA 98032-5713
Phone: (253) 520-3866
Fax: (253) 520-3844
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 4086
Bellevue, WA 98009-4086
Registry dates
- Enumerated
- 2009-03-16
- Last updated
- 2009-10-22
Frequently asked questions
- What is Prime Dental Group, LLC's NPI number?
- Prime Dental Group, LLC's National Provider Identifier (NPI) is 1407097850, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prime Dental Group, LLC?
- Prime Dental Group, LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Prime Dental Group, LLC located?
- Prime Dental Group, LLC's practice location on file with NPPES is 302 Washington Ave S, Kent, WA 98032-5713.
- What is Prime Dental Group, LLC's phone number?
- The practice phone number listed in the NPPES registry for Prime Dental Group, LLC is (253) 520-3866.
- Who is the authorized official for Prime Dental Group, LLC?
- The authorized official listed on Prime Dental Group, LLC's NPPES record is Yongjae Kim, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prime Dental Group, LLC's NPI active?
- Yes — Prime Dental Group, LLC's NPI (1407097850) is active in the NPPES registry as of the last update on 2009-10-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.