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Prime Dental Group, LLC

General Practice Dentistry in Kent, WA · enumerated 2009 · authorized official Yongjae Kim, Member.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1407097850

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Registry record

Entity type Organization (Type 2)
Legal business name Prime Dental Group, LLC
Practice address 302 Washington Ave S, Kent, WA, 98032
Phone (253) 520-3866
Fax (253) 520-3844
Enumeration date Mar 16, 2009
Last updated in NPPES Oct 22, 2009

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers · License DE00011116 (WA) Primary
1223G0001X General Practice Dentistry Dental Providers · License DE00011115 (WA) Secondary

Authorized official

Name Yongjae Kim
Title Member
Phone (425) 457-3638

Other identifiers

Identifier Type State Issuer
5059373 Medicaid WA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Prime Dental Group, LLC?
Prime Dental Group, LLC is registered in NPPES as a General Practice Dentistry (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-10-22.