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WATERFORD FAMILY DENTIST, DENTAL PRACTICE OF DR. CHARLES C. KIM, DDS
NPI 1437503356
Dentist - General Practice in Waterford, CA

Active since April 18, 2016
12142 YOSEMITE BLVD, WATERFORD, CA 95386(209) 874-2337(209) 874-9822 Get Directions Write a Review

NPPES record last updated: April 18, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Waterford Family Dentist, Dental Practice Of Dr. Charles C. Kim, Dds NPPES

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

WATERFORD FAMILY DENTIST, DENTAL PRACTICE OF DR. CHARLES C. KIM, DDS (NPI 1437503356) is a healthcare organization registered as a general practice in Waterford, California and active in the NPI registry since April 2016. The organization lists Charles Chanwoong Kim, Ceo, Owner, as its authorized official.

NPPES Registry Identity

NPI1437503356
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCHARLES C. KIM, D.D.S., INC.
Location Address12142 YOSEMITE BLVDWaterford, CA 95386-9163
Mailing Address12142 Yosemite BlvdWaterford, CA 95386-9163 · (209) 874-2337 · Fax (209) 874-9822
Phone(209) 874-2337
Fax(209) 874-9822
Organization SubpartNo
Authorized OfficialCharles Chanwoong KimCeo, Owner · (209) 874-2337
Enumeration DateApril 18, 2016
✔ NPI 1437503356 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 · 61112
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.
12142 YOSEMITE BLVD, Waterford, CA 95386
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Other Names 1

Doing Business AsWaterford Family Dentist, Dental Practice Of Dr. Charles C. Kim, Dds

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

DR. CHARLES CHANWOONG KIM D.D.S.
Dentist (General Practice)
12142 YOSEMITE BLVD
WATERFORD, CA 95386
Stanislaus County (209) 874-2337
JAMES YAMAMOTO DDS
Dentist
12142 YOSEMITE BLVD
WATERFORD, CA 95386
Stanislaus County (209) 874-2337

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 Charles C. Kim, D.D.S., Inc.'s NPI number?

The NPI number for Charles C. Kim, D.D.S., Inc. is 1437503356. It was assigned to this organization in the NPPES registry on April 18, 2016. The provider is doing business as Waterford Family Dentist, Dental Practice Of Dr. Charles C. Kim, Dds.

Where is Charles C. Kim, D.D.S., Inc. located?

Charles C. Kim, D.D.S., Inc. is located at 12142 Yosemite Blvd, Waterford, CA 95386. The listed phone number is (209) 874-2337.

What is Charles C. Kim, D.D.S., Inc.'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 Charles C. Kim, D.D.S., Inc. was last updated on April 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.