DR. JEONG SUK KIM D.D.S., INC
NPI 1396936795
Dentist - General Practice in Santa Ana, CA

Q: What is Jeong Suk Kim's NPI number?

The NPI number for Jeong Suk Kim is 1396936795. It was assigned to this individual provider in the NPPES registry on August 9, 2007. The provider is also known as Dr. Sue Kim D.D.S..

Q: What is Jeong Suk 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 Jeong Suk Kim was last updated on July 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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 August 09, 2007

408 W 4TH ST, SANTA ANA, CA 92701(714) 836-9999(714) 836-8496 Get Directions Write a Review

NPPES record last updated: July 14, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jeong Suk Kim D.d.s., Inc NPPES

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

DR. JEONG SUK KIM D.D.S., INC (NPI 1396936795) is an individual general practice provider in Santa Ana, California, licensed in California (53713) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1396936795

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JEONG SUK KIMCredential: D.D.S., INC

Location Address408 W 4TH STSanta Ana, CA 92701-4505

Mailing Address408 W 4th StSanta Ana, CA 92701-4505 · (714) 836-9999 · Fax (714) 836-8496

Phone(714) 836-9999

Fax(714) 836-8496

Sole ProprietorNo

Enumeration DateAugust 9, 2007

Last NPPES UpdateJuly 14, 2008

✔ NPI 1396936795 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 · 53713

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.

408 W 4TH ST, Santa Ana, CA 92701

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Other Names 1

Professional Name (2)Dr. Sue Kim D.d.s.

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 Jeong Suk Kim's NPI number?

The NPI number for Jeong Suk Kim is 1396936795. It was assigned to this individual provider in the NPPES registry on August 9, 2007. The provider is also known as Dr. Sue Kim D.D.S..

Where is Jeong Suk Kim located?

Jeong Suk Kim practices at 408 W 4th St, Santa Ana, CA 92701. The listed phone number is (714) 836-9999.

What is Jeong Suk 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 Jeong Suk Kim was last updated on July 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.