Roderick Youngdo Kim, DDS, MD
Roderick Youngdo Kim, DDS, MD practises Maxillofacial Surgery in Fort Worth, Texas. Graduated from University of Michigan Medical School in 2015, 11 years ago. Practices with Oral and Maxillofacial Network PLLC, a 7-clinician group and accepts Medicare assignment. Licensed in Texas.
- Years since qualifying
- 11
- Trained at
- University of Michigan Medical School
- Licensed in
- TX
- In the registry since
- 2011
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
1500 S Main St Dept OFFort Worth, TX 76104-4917
Phone: (817) 702-6936
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Specialties & licences
| Oral & Maxillofacial Surgery (D.M.D.) (primary) | Taxonomy 204E00000X · Licence 32838 (TX) |
|---|---|
| Oral and Maxillofacial Surgery (Dentist) | Taxonomy 1223S0112X · Licence 32838 (TX) |
Record details
| NPI number | 1689954562 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DDS , MD |
| Sole proprietor | Yes |
| NPI enumerated | August 23, 2011 |
| Last updated in NPPES | June 26, 2024 |
| Certification date | June 26, 2024 |
Medicare enrollment
| Medicare specialty | MAXILLOFACIAL SURGERY |
|---|---|
| Medical school | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduated | 2015 (11 years in practice) |
| Group practice | Oral And Maxillofacial Network Pllc — 7 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Procedures
| Melanoma (skin cancer) excision | 1–10 times |
|---|
Payments from drug and device companies, 2025
| Compensation for services other than consulting | $4,800 |
|---|---|
| Food and Beverage | $1,990 |
| Travel and Lodging | $63 |
Practises at
- Jps Health Network Hospital · Fort Worth, TX
Colleagues at Oral and Maxillofacial Network PLLC
- Dr. Alita Peltier Caldwell, DDS, MD Oral & Maxillofacial Surgery (D.M.D.) · Fort Worth, TX
- Herman Kao, DDS, MD Student in an Organized Health Care Education/Training Program · Fort Worth, TX
- Dr. Caitlyn McGue, DDS, MD Oral and Maxillofacial Surgery (Dentist) · Charleston, WV
- John Paul Stella, DDS Oral and Maxillofacial Surgery (Dentist) · Ft Worth, TX
- Fayette Creed Williams, DDS, MD Oral and Maxillofacial Surgery (Dentist) · Fort Worth, TX
Other providers in Fort Worth
-
Dr. Alita Peltier Caldwell, DDS, MD
1500 S Main St, Fort Worth, TX 76104-4917 · (817) 702-3000
-
Dioms, PLLC
9676 Bartlett Cir Ste 950, Fort Worth, TX 76108-4469 · (817) 945-2971
-
Dr. Craig Edward Harrison II, DDS, MD
7040 Harris Pkwy Ste 140, Fort Worth, TX 76132-4218 · (903) 530-7382
-
Dr. Jefferson Roy Lowry, DO
1250 8th Ave Ste 135, Fort Worth, TX 76104 · (817) 335-8151