Matthew Kim, DDS

General Practice Dentistry · Lodi, CA

Individual Active NPI

NPI number 1184399529

Practice location

1101 W Tokay St Ste 2
Lodi, CA 95240-3842
Phone
(209) 334-0760

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NPI record

NPI
1184399529
Entity type
Individual (Type 1)
Enumeration date
August 9, 2021
Last updated
June 12, 2024
Certified
June 12, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 106312 CA

About Dr. Kim

Matthew Kim, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1101 W Tokay St Ste 2, Lodi, CA 95240-3842. The NPI number 1184399529 was assigned on August 9, 2021 and the record was last updated on June 12, 2024.

Dr. Kim lists a license in the registry: #106312 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Matthew Kim, DDS?

The NPI number is 1184399529.

What is the phone number of Dr. Kim?

The phone number listed for the practice location is (209) 334-0760.

Where is Dr. Kim located?

1101 W Tokay St Ste 2, Lodi, CA 95240-3842.

What is the taxonomy code for Dr. Kim?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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