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JESSE G KIM DDS INC
NPI 1578200804
Clinic/Center - Dental in Cypress, CA

Active since May 18, 2022
5168 CUMBERLAND DR, CYPRESS, CA 90630(408) 819-1709 Get Directions Write a Review

NPPES record last updated: June 23, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jesse G Kim Dds Inc NPPES

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

JESSE G KIM DDS INC (NPI 1578200804), doing business as Jesse G Kim Dds, is a healthcare organization registered as a dental in Cypress, California and active in the NPI registry since May 2022. The organization lists Jesse Gawsung Kim, Dentist, as its authorized official.

NPPES Registry Identity

NPI1578200804
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameJESSE G KIM DDS INC
Location Address5168 CUMBERLAND DRCypress, CA 90630-3618
Mailing Address5168 Cumberland DrCypress, CA 90630-3618 · (408) 819-1709
Phone(408) 819-1709
Organization SubpartNo
Authorized OfficialJesse Gawsung KimDentist · (408) 819-1709
Enumeration DateMay 18, 2022
Last NPPES UpdateJune 23, 2022
NPPES CertifiedJune 23, 2022
✔ NPI 1578200804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
5168 CUMBERLAND DR, Cypress, CA 90630
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Other Names 1

Former Legal Business NameJesse G Kim Dds

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 Jesse G Kim Dds Inc's NPI number?

The NPI number for Jesse G Kim Dds Inc is 1578200804. It was assigned to this organization in the NPPES registry on May 18, 2022. The provider was formerly known as Jesse G Kim DDS.

Where is Jesse G Kim Dds Inc located?

Jesse G Kim Dds Inc is located at 5168 Cumberland Dr, Cypress, CA 90630. The listed phone number is (408) 819-1709.

What is Jesse G Kim Dds Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Jesse G Kim Dds Inc was last updated on June 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.