Roderick Youngdo Kim is a Fort Worth, Texas based Dentist with
11 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. Active license number of Roderick Youngdo Kim is
32838 in Texas. 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: | 11+ 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 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Roderick Youngdo Kim are as mentioned below.
| License Number | Specialization | State | Status | |
| 32838 | | Texas | Primary | |
| 32838 | Oral and Maxillofacial Surgery | Texas | Secondary | |
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, TX | Acute 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 |
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.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.