JISOO KIM
NPI 1013796309
Dentist in San Jose, CA

Active since September 26, 2023
1628 HOSTETTER RD STE J, SAN JOSE, CA 95131(408) 929-9999 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jisoo Kim NPPES

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

JISOO KIM (NPI 1013796309) is an individual dentist in San Jose, California, licensed in California (109428) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1013796309
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameJISOO KIM
Location Address1628 HOSTETTER RD STE JSan Jose, CA 95131-3309
Mailing Address1887 Greenfield Ave Apt 310Los Angeles, CA 90025-4416 · (202) 684-0703
Sole ProprietorYes
Enumeration DateSeptember 26, 2023
NPPES CertifiedSeptember 26, 2023
NPI 1013796309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 109428
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.

1628 HOSTETTER RD STE J, San Jose, CA 95131

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 (General Practice)
1628 HOSTETTER RD STE J
SAN JOSE, CA 95131

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013796309, enumerated as an "individual" on September 26, 2023.

The provider is located at 1628 HOSTETTER RD STE J SAN JOSE, CA 95131 and the phone number is (408) 929-9999.

Dentist with taxonomy code 122300000X.