Stanley Shinyeong Kim, D.D.S.

Dentist · Fullerton, CA

Individual Active NPI

NPI number 1093933400

Practice location

701 S Raymond Ave Ste 4b
Fullerton, CA 92831-5201
Phone
(714) 992-2999

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NPI record

NPI
1093933400
Entity type
Individual (Type 1)
Enumeration date
April 23, 2007
Last updated
January 27, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 58177 CA

Mailing address

441 Enclave Cir Apt 205
Costa Mesa, CA 92626-8263
Phone
(714) 904-1183

About Dr. Kim

Stanley Shinyeong Kim, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 701 S Raymond Ave Ste 4b, Fullerton, CA 92831-5201. The NPI number 1093933400 was assigned on April 23, 2007 and the record was last updated on January 27, 2014.

Dr. Kim lists a license in the registry: #58177 (CA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Stanley Shinyeong Kim, D.D.S.?

The NPI number is 1093933400.

What is the phone number of Dr. Kim?

The phone number listed for the practice location is (714) 992-2999.

Where is Dr. Kim located?

701 S Raymond Ave Ste 4b, Fullerton, CA 92831-5201.

What is the taxonomy code for Dr. Kim?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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