Roderick Youngdo Kim, DDS, MD
Roderick Youngdo Kim, DDS, MD is a 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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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 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 |
| Mailing address | 1500 South Main, Department Of Omfs, Fort Worth, TX 76104 |
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 |
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
-
Dr. Caitlyn McGue, DDS, MD
1500 S Main St, Fort Worth, TX 76104-4917 · (817) 702-3000