PRIVATE DENTAL GROUP
NPI 1033609433
Dentist - General Practice in La Jolla, CA

Q: What is Private Dental Group's NPI number?

The NPI number for Private Dental Group is 1033609433. It was assigned to this organization in the NPPES registry on May 11, 2018.

Q: What is Private Dental Group's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since May 11, 2018

8950 VILLA LA JOLLA DR STE B124, LA JOLLA, CA 92037(858) 457-3610(858) 457-4025 Get Directions Write a Review

NPPES record last updated: January 23, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

On this page

About Private Dental Group NPPES

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

PRIVATE DENTAL GROUP (NPI 1033609433) is a healthcare organization registered as a general practice in La Jolla, California and active in the NPI registry since May 2018. The organization lists Robert C. Kim, President, as its authorized official.

NPPES Registry Identity

NPI1033609433

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NamePRIVATE DENTAL GROUP

Location Address8950 VILLA LA JOLLA DR STE B124La Jolla, CA 92037-1704

Mailing Address8950 Villa La Jolla Dr Ste B124La Jolla, CA 92037-1704 · (858) 457-3610 · Fax (858) 457-4025

Phone(858) 457-3610

Fax(858) 457-4025

Organization SubpartNo

Authorized OfficialRobert C. KimPresident · (858) 457-3610

Enumeration DateMay 11, 2018

Last NPPES UpdateJanuary 23, 2025

NPPES CertifiedJanuary 23, 2025

✔ NPI 1033609433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

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.

8950 VILLA LA JOLLA DR STE B124, La Jolla, CA 92037

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. TIMOTHY CARPENTER D.M.D.

Dentist

8950 VILLA LA JOLLA DR STE B124
LA JOLLA, CA 92037

San Diego County (858) 486-2224

ROBERT C. KIM DDS

Dentist (General Practice)

8950 VILLA LA JOLLA DR STE B124
LA JOLLA, CA 92037

San Diego County (858) 457-3610

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 Private Dental Group's NPI number?

The NPI number for Private Dental Group is 1033609433. It was assigned to this organization in the NPPES registry on May 11, 2018.

Where is Private Dental Group located?

Private Dental Group is located at 8950 Villa La Jolla Dr Ste B124, La Jolla, CA 92037. The listed phone number is (858) 457-3610.

What is Private Dental Group's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Private Dental Group was last updated on January 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.