MR. JINSOO KIM DDS
NPI 1316019995
Dentist - Dentist Anesthesiologist in Richardson, TX

Active since November 15, 2006
4112 E RENNER RD, RICHARDSON, TX 75082(972) 480-0800(972) 480-0900 Get Directions Write a Review

NPPES record last updated: April 4, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Jinsoo Kim Dds NPPES

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

MR. JINSOO KIM DDS (NPI 1316019995) is an individual dentist anesthesiologist in Richardson, Texas, licensed in Texas (28856) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1316019995
Entity TypeIndividualMale
Primary Taxonomy1223D0004X
Provider Legal NameMR. JINSOO KIMCredential: DDS
Location Address4112 E RENNER RDRichardson, TX 75082-2832
Mailing Address7505 Vineyard TrlGarland, TX 75044-2105 · (253) 394-4186 · Fax (888) 502-2615
Fax(972) 480-0900
Sole ProprietorNo
Enumeration DateNovember 15, 2006
Last NPPES UpdateApril 4, 2016
NPI 1316019995 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · Dentist AnesthesiologistDental Providers
Taxonomy Code1223D0004X
License Licensed in TX · 28856
Definition

A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.

Also ListedDentist · General PracticeTaxonomy 1223G0001X · License 10618 (WA)
4112 E RENNER RD, Richardson, TX 75082

Accepted Insurance

Other Providers at the Same Location NPPES 2

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

Dentist (Dentist Anesthesiologist)
4112 E RENNER RD
RICHARDSON, TX 75082
Dentist (Dentist Anesthesiologist)
4112 E RENNER RD
RICHARDSON, TX 75082

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316019995, enumerated as an "individual" on November 15, 2006.

The provider is located at 4112 E RENNER RD RICHARDSON, TX 75082 and the phone number is (972) 480-0800.

Dentist with taxonomy code 1223D0004X and a focus in Dentist Anesthesiologist.

The provider might be accepting Accepts: Guardian. Please consult your insurance carrier or call the provider to verify.