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HYUNG-JU JOHN KIM DDS INC
NPI 1154796043
Dentist in San Bernardino, CA

Active since December 03, 2015
1136 N MOUNT VERNON AVE SPC 202-203, SAN BERNARDINO, CA 92411(909) 453-0244 Get Directions Write a Review

NPPES record last updated: December 3, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hyung-ju John Kim Dds Inc NPPES

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

HYUNG-JU JOHN KIM DDS INC (NPI 1154796043) is a healthcare organization registered as a dentist in San Bernardino, California and active in the NPI registry since December 2015. The organization lists Hyung-ju John Kim Dds, Ceo, as its authorized official.

NPPES Registry Identity

NPI1154796043
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameHYUNG-JU JOHN KIM DDS INC
Location Address1136 N MOUNT VERNON AVE SPC 202-203San Bernardino, CA 92411-2279
Mailing Address1136 N Mount Vernon Ave Spc 202-203San Bernardino, CA 92411-2279
Phone(909) 453-0244
Organization SubpartNo
Authorized OfficialHyung-ju John Kim DdsCeo · (909) 453-0244
Enumeration DateDecember 3, 2015
✔ NPI 1154796043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
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.
1136 N MOUNT VERNON AVE SPC 202-203, San Bernardino, CA 92411
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Hyung-Ju John Kim Dds Inc's NPI number?

The NPI number for Hyung-Ju John Kim Dds Inc is 1154796043. It was assigned to this organization in the NPPES registry on December 3, 2015.

Where is Hyung-Ju John Kim Dds Inc located?

Hyung-Ju John Kim Dds Inc is located at 1136 N Mount Vernon Ave Spc 202-203, San Bernardino, CA 92411. The listed phone number is (909) 453-0244.

What is Hyung-Ju John Kim Dds Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Hyung-Ju John Kim Dds Inc was last updated on December 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.