Dae Ho Kim, DDS

General Practice Dentistry · Everett, WA

Individual Active NPI

NPI number 1275869000

Practice location

5929 Evergreen Way Ste 100
Everett, WA 98203-6031
Phone
(425) 353-4469
Fax
(425) 348-5216

Open in Google Maps

NPI record

NPI
1275869000
Entity type
Individual (Type 1)
Enumeration date
October 29, 2009
Last updated
March 30, 2026
Certified
March 30, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DE60307878 WA
Dentist 122300000X DE60307878 WA

Other practice locations (1)

  • 1920 100th St SE Ste C2, Everett, WA 98208-3832 · (425) 249-0770

About Dr. Kim

Dae Ho Kim, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 5929 Evergreen Way Ste 100, Everett, WA 98203-6031. The NPI number 1275869000 was assigned on October 29, 2009 and the record was last updated on March 30, 2026.

Dr. Kim lists 2 licenses in the registry: #DE60307878 (WA) for General Practice Dentistry; #DE60307878 (WA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Dae Ho Kim, DDS?

The NPI number is 1275869000.

What is the phone number of Dr. Kim?

The phone number listed for the practice location is (425) 353-4469.

Where is Dr. Kim located?

5929 Evergreen Way Ste 100, Everett, WA 98203-6031.

What is the taxonomy code for Dr. Kim?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other General Practice Dentistry providers in Everett

All General Practice Dentistry providers in Everett, WA →