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GRACE MIJIN KIM DDS
NPI 1356641922
Dentist - General Practice in Glendora, CA

Active since October 28, 2010
1770 S BARRANCA AVE, GLENDORA, CA 91740(626) 339-4600(626) 339-4099 Get Directions Write a Review

NPPES record last updated: July 16, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grace Mijin Kim Dds NPPES

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

GRACE MIJIN KIM DDS (NPI 1356641922) is an individual general practice provider in Glendora, California, licensed in California (58445) and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1356641922
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameGRACE MIJIN KIMCredential: DDS
Location Address1770 S BARRANCA AVEGlendora, CA 91740-5421
Mailing Address1770 S Barranca AveGlendora, CA 91740-5421 · (626) 339-4600 · Fax (626) 339-4099
Phone(626) 339-4600
Fax(626) 339-4099
Sole ProprietorYes
Enumeration DateOctober 28, 2010
Last NPPES UpdateJuly 16, 2015
✔ NPI 1356641922 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 · 58445
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.
1770 S BARRANCA AVE, Glendora, CA 91740
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES

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

GRACE KIM DENTAL CORPORATION
Dentist
1770 S BARRANCA AVE
GLENDORA, CA 91740
Los Angeles County (626) 339-4600

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 Grace Kim's NPI number?

The NPI number for Grace Kim is 1356641922. It was assigned to this individual provider in the NPPES registry on October 28, 2010.

Where is Grace Kim located?

Grace Kim practices at 1770 S Barranca Ave, Glendora, CA 91740. The listed phone number is (626) 339-4600.

What is Grace Kim's specialty?

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

What insurance does Grace Kim accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Grace Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Grace Kim was last updated on July 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.