Roderick Youngdo Kim, DDS, MD

Maxillofacial surgeon in Fort Worth, Texas · NPI 1689954562

Roderick Kim is one of 3 maxillofacial surgeons practicing in Fort Worth, Texas. See all maxillofacial surgeons in Texas. Roderick Kim practices with Oral And Maxillofacial Network PLLC.

Registry record (NPPES)

NPI
1689954562
Type
Type 1 · Individual
Primary taxonomy
Oral & Maxillofacial Surgery · 204E00000X
Address on file
1500 S Main St Dept Of
Fort Worth, TX 76104-4917
(817) 702-6936
Enumerated
Aug 23, 2011
Record last updated
Jun 26, 2024
License states listed
TX

Medicare (CMS)

Enrollment
Medicare-enrolled in TX
Maxillofacial Surgery
Revalidation due
No date set by CMS

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Practice locations

More maxillofacial surgeons in Fort Worth

Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.