DR. NATHAN DAEBHUM KIM DMD
NPI 1245996784
Dentist in Orange, CA

Q: What is Nathan Kim's NPI number?

The NPI number for Nathan Kim is 1245996784. It was assigned to this individual provider in the NPPES registry on November 9, 2021.

Q: What is Nathan Kim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nathan Kim was last updated on July 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since November 09, 2021

179 N TUSTIN ST, ORANGE, CA 92867(714) 288-1035 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 2, 2024, May 18, 2023, Nov 9, 2021 (3 updates tracked since 2021).

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About Dr. Nathan Daebhum Kim Dmd NPPES

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

DR. NATHAN DAEBHUM KIM DMD (NPI 1245996784) is an individual dentist in Orange, California, licensed in California (DDS109885) and active in the NPI registry since November 2021. He maintains 3 additional practice locations.

NPPES Registry Identity

NPI1245996784

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. NATHAN DAEBHUM KIMCredential: DMD

Location Address179 N TUSTIN STOrange, CA 92867-7716

Mailing Address5603 Orouke RdSugar Hill, GA 30518-2153 · (678) 702-3050

Phone(714) 288-1035

Sole ProprietorNo

Enumeration DateNovember 9, 2021

Last NPPES UpdateJuly 2, 20243 updates tracked since enumeration

NPPES CertifiedJuly 2, 2024

✔ NPI 1245996784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · DDS109885

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.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 26956 (FL)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

179 N TUSTIN ST, Orange, CA 92867

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Secondary Practice Locations 3

Location 1Woodhull Medical Center 760 Broadway, Room 2c319Brooklyn, NY 11206 · Phone (718) 963-8310

Location 2250 E International Speedway BlvdDeland, FL 32724-2340 · Phone (386) 626-3296

Location 39050 Whittier BlvdPico Rivera, CA 90660-2410 · Phone (562) 456-1111

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and more.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.

OMAR ALNOFI

Dentist (General Practice)