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LOUIS M KIM, A PROFESSIONAL DENTAL CORPORATION
NPI 1104336478
Clinic/Center - Dental in Sacramento, CA

Active since October 02, 2017
1824 AVONDALE AVE, SACRAMENTO, CA 95825(916) 900-8521(916) 900-8526 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Louis M Kim, A Professional Dental Corporation NPPES

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

LOUIS M KIM, A PROFESSIONAL DENTAL CORPORATION (NPI 1104336478) is a healthcare organization registered as a dental in Sacramento, California and active in the NPI registry since October 2017. The organization maintains a secondary practice location in Sacramento and lists Louis Kim, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1104336478
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameLOUIS M KIM, A PROFESSIONAL DENTAL CORPORATION
Location Address1824 AVONDALE AVESacramento, CA 95825-1378
Mailing Address1824 Avondale AveSacramento, CA 95825-1378 · (916) 900-8521 · Fax (916) 900-8526
Phone(916) 900-8521
Fax(916) 900-8526
Organization SubpartYesParent: Louis Kim Dds Inc.
Authorized OfficialLouis KimOwner/dentist · (916) 900-8521
Enumeration DateOctober 2, 2017
Last NPPES UpdateMarch 17, 2018
✔ NPI 1104336478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in CA · 53231
1824 AVONDALE AVE, Sacramento, CA 95825
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Secondary Practice Location 1

Location 13811 Florin Rd Ste 8Sacramento, CA 95823-1818 · Phone (916) 392-7020 · Fax (916) 392-7048

Other Identifiers 1

Medicaid1174711522CA

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 Louis M Kim, A Professional Dental Corporation's NPI number?

The NPI number for Louis M Kim, A Professional Dental Corporation is 1104336478. It was assigned to this organization in the NPPES registry on October 2, 2017.

Where is Louis M Kim, A Professional Dental Corporation located?

Louis M Kim, A Professional Dental Corporation is located at 1824 Avondale Ave, Sacramento, CA 95825. The listed phone number is (916) 900-8521.

What is Louis M Kim, A Professional Dental Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Louis M Kim, A Professional Dental Corporation was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.