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IVY ENDODONTIC GROUP
NPI 1629186176
Dentist - Endodontics in Garden Grove, CA

Active since August 25, 2006
12865 MAIN ST STE #201, GARDEN GROVE, CA 92840(714) 530-7888(714) 530-1344 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ivy Endodontic Group NPPES

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

IVY ENDODONTIC GROUP (NPI 1629186176) is a healthcare organization registered as an endodontics in Garden Grove, California and active in the NPI registry since August 2006. The organization lists Michael Hwangsuk Kim, Owner, as its authorized official.

NPPES Registry Identity

NPI1629186176
Entity TypeOrganization
Primary Taxonomy1223E0200X
Legal Business NameKIM SHIMAZU & LEE DENTAL CORP
Location Address12865 MAIN ST STE #201Garden Grove, CA 92840
Mailing Address12865 Main St Ste #201Garden Grove, CA 92840 · (714) 530-7888 · Fax (714) 530-1344
Phone(714) 530-7888
Fax(714) 530-1344
Organization SubpartNo
Authorized OfficialMichael Hwangsuk KimOwner · (714) 530-7888
Enumeration DateAugust 25, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1629186176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
License✔ Licensed in CA · 36953
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Other Names 1

Doing Business AsIvy Endodontic Group

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 Kim Shimazu & Lee Dental Corp's NPI number?

The NPI number for Kim Shimazu & Lee Dental Corp is 1629186176. It was assigned to this organization in the NPPES registry on August 25, 2006. The provider is doing business as Ivy Endodontic Group.

Where is Kim Shimazu & Lee Dental Corp located?

Kim Shimazu & Lee Dental Corp is located at 12865 Main St Ste #201, Garden Grove, CA 92840. The listed phone number is (714) 530-7888.

What is Kim Shimazu & Lee Dental Corp's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

What insurance does Kim Shimazu & Lee Dental Corp accept?

Health plans from UnitedHealthcare list Kim Shimazu & Lee Dental Corp 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 Kim Shimazu & Lee Dental Corp was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.