DR. YONG SOO KIM DDS
NPI 1265684161
Dentist - General Practice in Fort Irwin, CA

Q: What is Yong Kim's NPI number?

The NPI number for Yong Kim is 1265684161. It was assigned to this individual provider in the NPPES registry on October 22, 2008.

Q: What is Yong Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Yong Kim was last updated on December 20, 2023. 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 October 22, 2008

171 INNER LOOP RD, FORT IRWIN, CA 92310(760) 380-3166 Get Directions Write a Review

NPPES record last updated: December 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Yong Soo Kim Dds NPPES

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

DR. YONG SOO KIM DDS (NPI 1265684161) is an individual general practice provider in Fort Irwin, California, licensed in Utah (7113006-9921) and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1265684161

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. YONG SOO KIMCredential: DDS

Location Address171 INNER LOOP RDFort Irwin, CA 92310

Mailing AddressShuttleworth Dental Clinic, 171 Inner Loop Rd.Fort Irwin, CA 92310-5080 · (760) 380-3166

Phone(760) 380-3166

Sole ProprietorYes

Enumeration DateOctober 22, 2008

Last NPPES UpdateDecember 20, 2023

NPPES CertifiedDecember 18, 2023

✔ NPI 1265684161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Licenses✔ Licensed in UT · 7113006-9921✔ Licensed in UT · 7113006✔ Licensed in UT · 7113006-8903

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.

171 INNER LOOP RD, Fort Irwin, CA 92310

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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.

MELISSA JANE MADDOX RDH

Dental Hygienist

171 INNER LOOP RD
FORT IRWIN, CA 92310

San Bernardino County (999) 999-9999

DR. SERGIO HERNANDEZ DDS

Dentist

171 INNER LOOP RD
FORT IRWIN, CA 92310

San Bernardino County (760) 380-3173

DR. PATRICE LUZELLE ERMITA MARA DMD

Dentist

171 INNER LOOP RD
FORT IRWIN, CA 92310

San Bernardino County (760) 380-6179

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 Yong Kim's NPI number?

The NPI number for Yong Kim is 1265684161. It was assigned to this individual provider in the NPPES registry on October 22, 2008.

Where is Yong Kim located?

Yong Kim practices at 171 Inner Loop Rd, Fort Irwin, CA 92310. The listed phone number is (760) 380-3166.

What is Yong Kim'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 Yong Kim was last updated on December 20, 2023. 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.