JUSTIN IM
NPI 1316520364
Dentist - Pediatric Dentistry in Apple Valley, CA

Active since April 28, 2021
18564 US HIGHWAY 18 STE 301, APPLE VALLEY, CA 92307(079) 076-0490 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 4, 2024, Apr 28, 2021 (2 updates tracked since 2021).

About Justin Im NPPES

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

JUSTIN IM (NPI 1316520364) is an individual pediatric dentistry provider in Apple Valley, California, licensed in California (106857) and active in the NPI registry since April 2021. He maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1316520364
Entity TypeIndividualMale
Primary Taxonomy1223P0221X
Provider Legal NameJUSTIN IM
Location Address18564 US HIGHWAY 18 STE 301Apple Valley, CA 92307-2340
Mailing AddressThird Ave. And 183rd StreetBronx, NY 10457
Sole ProprietorNo
Enumeration DateApril 28, 2021
Last NPPES UpdateApril 4, 20242 updates tracked since enumeration
NPPES CertifiedApril 3, 2024
NPI 1316520364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in CA · 106857
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

18564 US HIGHWAY 18 STE 301, Apple Valley, CA 92307

Secondary Practice Location 1

Location 1Third Ave. and 183rd StreetBronx, NY 10457 · Phone (718) 618-8961

Accepted Insurance

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316520364, enumerated as an "individual" on April 28, 2021.

The provider is located at 18564 US HIGHWAY 18 STE 301 APPLE VALLEY, CA 92307 and the phone number is (079) 076-0490.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BEST Life, Blue. Please consult your insurance carrier or call the provider to verify.