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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1841612744

Dr. Youngdae Kim, DMD is a Student in an Organized Health Care Education/Training Program in Springfield, Virginia. Licensed in Pennsylvania and Virginia. Registered with an NPI since 2014.

Licensed in
PA, VA
In the registry since
2014
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

5417D Backlick Rd
Springfield, VA 22151-3915
Phone: (703) 988-3386
Fax: (703) 988-3389
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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 0401415145 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X
General Practice Dentistry Taxonomy 1223G0001X · Licence DS039841 (PA)

Record details

NPI number1841612744
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJanuary 10, 2014
Last updated in NPPESAugust 1, 2016
Mailing address5417d Backlick Rd, Springfield, VA 22151-3915

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