Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Dongsoo David Kim, DMD, MD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1821016957

Dr. Dongsoo David Kim, DMD, MD is a Maxillofacial Surgery in Shreveport, Louisiana. Qualified in 1998, 28 years ago. Practices with LSU Health Sciences Center Shreveport Faculty Group Practice, a 569-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
28
Licensed in
LA
In the registry since
2006
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1501 Kings Hwy Dept OF Oral Surgery
Shreveport, LA 71103-4228
Phone: (318) 813-2625
Fax: (318) 813-2627
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral & Maxillofacial Surgery (D.M.D.) (primary) Taxonomy 204E00000X · Licence 15055R (LA)
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X · Licence 5542 (LA)

Record details

NPI number1821016957
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD , MD
Sole proprietorNo
NPI enumeratedJuly 17, 2006
Last updated in NPPESAugust 25, 2021
Certification dateAugust 25, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMAXILLOFACIAL SURGERY
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Lsu Health Sciences Center Shreveport Faculty Group Practice — 569 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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