OrganizationActive
Peter E. Kim, DDS, Ps
NPI 1457751273 · Oral and Maxillofacial Surgery Clinic/Center · Mount Vernon, WA
Provider details
- NPI number
- 1457751273
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Peter Kim, President(513) 802-2799
- License
- DE 60468228 (WA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
2100 E Section St Ste 103
Mount Vernon, WA 98274-9132
Phone: (360) 424-7057
Fax: (360) 424-7058
Street-level locationGet directions
Mailing address
2100 E Section St Ste 103
Mount Vernon, WA 98274-9132
Other names (DBA / former)
- Doing business as
- North Cascade Implant and Oral Surgery Center
Registry dates
- Enumerated
- 2014-08-28
- Last updated
- 2014-08-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.