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B C KIM DDS INC NPI 1346319084


NPI Information

NPI: 1346319084
Provider Name: B C KIM DDS INC

Doing Business As: HESPERIA CENTRAL DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
16922 MAIN ST
SUITE # F
HESPERIA, CA
ZIP 92345
Phone: (760) 244-4844
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B C KIM DDS INC is a general practice dentist in Hesperia, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. B C KIM DDS INC NPI is 1346319084. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Hesperia Central Dental.

The provider's business location address is:

16922 MAIN ST
SUITE # F
HESPERIA, CA
ZIP 92345-920
Phone: (760) 244-4844
Fax: (760) 244-5002

The provider's authorized official is Brian C Kim .
The authorized official title is Ceo and has the following contact phone number (760) 244-4844.

The enumeration date for this NPI number is 11/7/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice36327CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G9358301OTHERCALIFORNIAMEDI-CAL DENTAL PROGRAM

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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