Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Prime Dental Group, LLC

Organization General Practice Dentistry · NPI 1407097850

Prime Dental Group, LLC is a General Practice Dentistry in Kent, Washington. Licensed in Washington. Registered with an NPI since 2009.

Licensed in
WA
In the registry since
2009
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

302 Washington Ave S
Kent, WA 98032-5713
Phone: (253) 520-3866
Fax: (253) 520-3844
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DE00011116 (WA)
General Practice Dentistry Taxonomy 1223G0001X · Licence DE00011115 (WA)

Record details

NPI number1407097850
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yongjae Kim — Member · (425) 457-3638
NPI enumeratedMarch 16, 2009
Last updated in NPPESOctober 22, 2009
Mailing addressPo Box 4086, Bellevue, WA 98009-4086

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