CREATIVE SMILES DENTAL
NPI 1083963995
Dentist in Fontana, CA

Q: What is Creative Smiles Dental's NPI number?

The NPI number for Creative Smiles Dental is 1083963995. It was assigned to this organization in the NPPES registry on September 6, 2012.

Q: What is Creative Smiles Dental's specialty?

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

Active since September 06, 2012

17736 SAN BERNARDINO AVE, FONTANA, CA 92335(909) 822-4363 Get Directions Write a Review

NPPES record last updated: December 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Creative Smiles Dental NPPES

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

CREATIVE SMILES DENTAL (NPI 1083963995) is a healthcare organization registered as a dentist in Fontana, California and active in the NPI registry since September 2012. The organization lists Yang H Kim, Owner, as its authorized official.

NPPES Registry Identity

NPI1083963995

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameCREATIVE SMILES DENTAL

Location Address17736 SAN BERNARDINO AVEFontana, CA 92335-6133

Mailing Address17736 San Bernardino AveFontana, CA 92335-6133 · (909) 822-4363

Phone(909) 822-4363

Organization SubpartNo

Authorized OfficialYang H KimOwner · (909) 822-4363

Enumeration DateSeptember 6, 2012

Last NPPES UpdateDecember 17, 2014

✔ NPI 1083963995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 48481

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.

17736 SAN BERNARDINO AVE, Fontana, CA 92335

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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 5

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

JAEWOO CHO DENTAL CORPORATION

Dentist (General Practice)