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S.S. KIM D.D.S. INC. NPI 1386851525


NPI Information

NPI: 1386851525
Provider Name: S.S. KIM, D.D.S. INC.

Doing Business As: GP DENTAL CENTER

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1410 N GAREY AVE
SUITE B
POMONA, CA
ZIP 91767
Phone: (909) 623-8535
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S.S. KIM, D.D.S. INC. is a general practice dentist in Pomona, 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. S.S. KIM, D.D.S. INC. NPI is 1386851525. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Gp Dental Center.

The provider's business location address is:

1410 N GAREY AVE
SUITE B
POMONA, CA
ZIP 91767-810
Phone: (909) 623-8535
Fax: (909) 623-8230

The provider's authorized official is Nina Truong-kim .
The authorized official title is Regional Manager and has the following contact phone number (951) 377-2278.

The enumeration date for this NPI number is 5/17/2007 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 Practice39026CALIFORNIAYes

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
1829626OTHERCALIFORNIAUNITED CONCORDIA
2B39026-01OTHERCALIFORNIADENTICAL

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: 11/14/2023

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