Roderick Youngdo Kim

DDS, MD | Dentist | 9+ years Exp



  
  1500 S Main St Dept Of, Fort Worth
  Texas, 76104-4917

  817-702-6936    Maps & Directions
Roderick Youngdo Kim is a Fort Worth, Texas based Dentist with 9 years of experience in Dentist. He completed his graduation from University Of Michigan Medical School in 2015 He is also affiliated with hospitals like . He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. His current practice location is 1500 S Main St Dept Of, Fort Worth. Patients can reach him at 817-702-6936.
Roderick Youngdo Kim is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Roderick Youngdo Kim speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Name: Roderick Youngdo Kim
Specialization: Dentist
Gender:Male
Credentials: DDS, MD
Experience: 9+ years
Medical School Attended:University Of Michigan Medical School
Graduation Year:2015
Accepts Medicare Assignment:Yes
Practice Address:1500 S Main St Dept Of, Fort Worth,
Texas, 76104-4917
Phone:817-702-6936
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 5698081347
Enrollment ID: I20170805000004
NPI Number: 1689954562
NPI Enumeration Date: 23 Aug, 2011
NPI Last Update On: 26 Jun, 2024

Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
(450039)Fort worth, TXAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Roderick Youngdo Kim is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
Oral And Maxillofacial Network Pllc (2668498387)9
Medicare Quality Reporting:
Medicare Quality Reporting consists of various programs like PQRS, EHR, MHI etc.
PQRS He does not participate in the Physician Quality Reporting System Incentive Program.
EHR He does not participate in the Electronic Health Record Incentive Program.
MHI He does not participate in the Million Hearts Initiative Program.
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 1500 South Main, Department Of Omfs
Fort Worth, Texas
Zip: 76104
Patients can reach Roderick Youngdo Kim at 1500 S Main St Dept Of, Fort Worth, Texas or can call to book an appointment on 817-702-6936. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.

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