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JIN Y. KIM DDS INC. NPI 1063687937


NPI Information

NPI: 1063687937
Provider Name: JIN Y. KIM DDS, INC.
Classification: Dentist - 1223P0700X
Entity Type: Organization

Specialization: Prosthodontics

Address:
9681 GARDEN GROVE BLVD STE 104
GARDEN GROVE, CA
ZIP 92844
Phone: (713) 539-8275
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JIN Y. KIM DDS, INC. is a prosthodontics dentist in Garden Grove, CA. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. JIN Y. KIM DDS, INC. NPI is 1063687937. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9681 GARDEN GROVE BLVD STE 104
GARDEN GROVE, CA
ZIP 92844-548
Phone: (713) 539-8275
Fax: (714) 539-8284

The provider's authorized official is Jin Young Kim .
The authorized official title is President and has the following contact phone number (323) 445-6144.

The enumeration date for this NPI number is 4/23/2008 and was last updated on 3/27/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice54575CALIFORNIANo
21223P0700XDentistProsthodontics54575CALIFORNIAYes

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: 5/5/2024

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