SOO-DONG KIM, D.D.S., INC.
NPI 1194922260
Dentist - General Practice in Fontana, CA

Active since June 30, 2007
9261 SIERRA AVE, FONTANA, CA 92335(909) 822-2212(909) 822-2698 Get Directions Write a Review

NPPES record last updated: September 12, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Soo-dong Kim, D.d.s., Inc. NPPES

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

SOO-DONG KIM, D.D.S., INC. (NPI 1194922260) is a healthcare organization registered as a general practice in Fontana, California and active in the NPI registry since June 2007. The organization lists Soo-dong Kim, President, as its authorized official.

NPPES Registry Identity

NPI1194922260
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSOO-DONG KIM, D.D.S., INC.
Location Address9261 SIERRA AVEFontana, CA 92335-4710
Mailing Address9261 Sierra AveFontana, CA 92335-4710 · (909) 822-2212 · Fax (909) 822-2698
Fax(909) 822-2698
Organization SubpartNo
Authorized OfficialSoo-dong KimPresident · (909) 822-2212
Enumeration DateJune 30, 2007
Last NPPES UpdateSeptember 12, 2007
NPI 1194922260 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 38859
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.
9261 SIERRA AVE, Fontana, CA 92335

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

Other Providers at the Same Location NPPES 3

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

Dentist
9261 SIERRA AVE
FONTANA, CA 92335
Dentist (General Practice)
9261 SIERRA AVE
FONTANA, CA 92335
Dentist (General Practice)
9261 SIERRA AVE
FONTANA, CA 92335

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 Soo-Dong Kim, D.D.S., Inc.'s NPI number?

The NPI number for Soo-Dong Kim, D.D.S., Inc. is 1194922260. It was assigned to this organization in the NPPES registry on June 30, 2007.

Where is Soo-Dong Kim, D.D.S., Inc. located?

Soo-Dong Kim, D.D.S., Inc. is located at 9261 Sierra Ave, Fontana, CA 92335. The listed phone number is (909) 822-2212.

What is Soo-Dong Kim, D.D.S., Inc.'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 Soo-Dong Kim, D.D.S., Inc. was last updated on September 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.