HA EUN KIM DDS
NPI 1003531104
Dentist in Moreno Valley, CA

Active since October 11, 2022
12625 FREDERICK ST STE F4, MORENO VALLEY, CA 92553(951) 697-7750 Get Directions Write a Review

NPPES record last updated: October 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ha Eun Kim Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HA EUN KIM DDS (NPI 1003531104) is an individual dentist in Moreno Valley, California, licensed in California (108243) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1003531104
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameHA EUN KIMCredential: DDS
Location Address12625 FREDERICK ST STE F4Moreno Valley, CA 92553-5234
Mailing Address11770 Randolph CtLoma Linda, CA 92354-4188 · (909) 488-6723
Sole ProprietorNo
Enumeration DateOctober 11, 2022
NPPES CertifiedOctober 11, 2022
NPI 1003531104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 108243
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
12625 FREDERICK ST STE F4, Moreno Valley, CA 92553

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
12625 FREDERICK ST STE F4
MORENO VALLEY, CA 92553

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ha Kim's NPI number?

The NPI number for Ha Kim is 1003531104. It was assigned to this individual provider in the NPPES registry on October 11, 2022.

Where is Ha Kim located?

Ha Kim practices at 12625 Frederick St Ste F4, Moreno Valley, CA 92553. The listed phone number is (951) 697-7750.

What is Ha Kim's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Ha Kim was last updated on October 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.