# KIM JUNG STEVENS STEVENS DDS PS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487747580
- **Authorized official:** KEVIN T KIM DDS (OWNER)
- **Authorized official phone:** (253) 582-5050

## Contact information

- **Practice address:** 6001 100TH ST SW, LAKEWOOD, WA 98499
- **Practice address phone:** (253) 582-5050
- **Practice address fax:** (253) 582-5399
- **Mailing address:** 6001 100TH ST SW, LAKEWOOD, WA 98499
- **Mailing address phone:** (253) 582-5050
- **Mailing address fax:** (253) 582-5399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 3976 | WA | Yes |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 06/06/2018