DR. YONG SOO KIM DDS NPI 1265684161

NPI Information

  • NPI: 1265684161
  • Provider Name: DR. YONG SOO KIM, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 171 INNER LOOP RD
    FORT IRWIN, CA
    ZIP 92310
  • Phone: (760) 380-3166

Map and Directions

Get Directions

NPI Details

DR. Yong Soo Kim, DDS is a general practice dentist in Fort Irwin, 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. DR. Yong Soo Kim, DDS NPI is 1265684161. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

171 INNER LOOP RD
FORT IRWIN, CA
ZIP 92310
Phone: (760) 380-3166

The enumeration date for this NPI number is 10/22/2008 and was last updated on 12/20/2023.

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 Practice7113006UTAHNo
21223G0001XDentistGeneral Practice7113006-8903UTAHNo
31223G0001XDentistGeneral Practice7113006-9921UTAHYes

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: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.