DR. SANDRA KIM D.M.D.
NPI 1114906575
Dentist in Woodbridge, VA

Active since January 13, 2006
4379 RIDGEWOOD CENTER DR STE 102, WOODBRIDGE, VA 22192(703) 680-7950(703) 680-7953 Get Directions Write a Review

NPPES record last updated: April 8, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Sandra Kim D.m.d. NPPES

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

DR. SANDRA KIM D.M.D. (NPI 1114906575) is an individual dentist in Woodbridge, Virginia, licensed in District Of Columbia (DEN1000804) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1114906575
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. SANDRA KIMCredential: D.M.D.
Location Address4379 RIDGEWOOD CENTER DR STE 102Woodbridge, VA 22192-8323
Mailing Address2333 Ontario Rd NwWashington, DC 20009-2627 · (202) 483-4922
Fax(703) 680-7953
Sole ProprietorNo
Enumeration DateJanuary 13, 2006
Last NPPES UpdateApril 8, 2021
NPPES CertifiedApril 8, 2021
NPI 1114906575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses Licensed in DC · DEN1000804 Licensed in VA · 0401412651 Licensed in MD · 15220
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.

4379 RIDGEWOOD CENTER DR STE 102, Woodbridge, VA 22192

Other Identifiers 1

Medicaid200285280IN

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Dentist (General Practice)
4379 RIDGEWOOD CENTER DR STE 102
WOODBRIDGE, VA 22192
Obstetrics & Gynecology
4379 RIDGEWOOD CENTER DR STE 102
WOODBRIDGE, VA 22192
Nurse Practitioner (Family)
4379 RIDGEWOOD CENTER DR STE 102
WOODBRIDGE, VA 22192
Nurse Practitioner
4379 RIDGEWOOD CENTER DR STE 102
WOODBRIDGE, VA 22192
Nurse Practitioner (Family)
4379 RIDGEWOOD CENTER DR STE 102
WOODBRIDGE, VA 22192
Counselor (Mental Health)
4379 RIDGEWOOD CENTER DR STE 102
WOODBRIDGE, VA 22192
Physician Assistant
4379 RIDGEWOOD CENTER DR STE 102
WOODBRIDGE, VA 22192
Pediatrics
4379 RIDGEWOOD CENTER DR STE 102
WOODBRIDGE, VA 22192

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 Sandra Kim's NPI number?

The NPI number for Sandra Kim is 1114906575. It was assigned to this individual provider in the NPPES registry on January 13, 2006.

Where is Sandra Kim located?

Sandra Kim practices at 4379 Ridgewood Center Dr Ste 102, Woodbridge, VA 22192. The listed phone number is (703) 680-7950.

What is Sandra Kim's specialty?

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

What insurance does Sandra Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Sandra Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sandra Kim was last updated on April 8, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.