OrganizationActive
Kris Kim DDS PLLC
NPI 1962726281 · Preferred Provider Organization · Edmonds, WA
Provider details
- NPI number
- 1962726281
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Kris Kim, Owner/Dr.(425) 977-2505
- License
- DE60058462 (WA)
Specialties & taxonomies
Managed Care Organizations
Practice location
21920 76th Ave W
Suite 201
Edmonds, WA 98026-7980
Phone: (425) 977-2505
Fax: (425) 977-2506
Approximate (ZIP-level) locationGet directions
Mailing address
21920 76th Ave W
Edmonds, WA 98026-7980
Other names (DBA / former)
- Doing business as
- Edmonds Orthodontics
Registry dates
- Enumerated
- 2010-03-15
- Last updated
- 2010-03-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.