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WILLIAM DAE WON KIM D.D.S. A DENTAL CORPORATION
NPI 1639963473
Clinic/Center - Dental in Los Angeles, CA

Active since April 07, 2025
906 N VERMONT AVE, LOS ANGELES, CA 90029(323) 522-3382 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About William Dae Won Kim D.d.s. A Dental Corporation NPPES

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

WILLIAM DAE WON KIM D.D.S. A DENTAL CORPORATION (NPI 1639963473), doing business as Oxy Dental, is a healthcare organization registered as a dental in Los Angeles, California and active in the NPI registry since April 2025. The organization lists William Dae Won Kim, Dentist, as its authorized official.

NPPES Registry Identity

NPI1639963473
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameWILLIAM DAE WON KIM D.D.S. A DENTAL CORPORATION
Location Address906 N VERMONT AVELos Angeles, CA 90029-3519
Mailing Address2485 Queensberry RdPasadena, CA 91104-3440
Phone(323) 522-3382
Organization SubpartNo
Authorized OfficialWilliam Dae Won KimDentist · (213) 270-5432
Enumeration DateApril 7, 2025
NPPES CertifiedApril 7, 2025
✔ NPI 1639963473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
906 N VERMONT AVE, Los Angeles, CA 90029
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Other Names 1

Doing Business AsOxy Dental

Other Identifiers 1

Medicaid1366923146CA

Other Providers at the Same Location NPPES 3

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

BAE LIM DENTAL CORPORATION
Dentist
906 N VERMONT AVE
LOS ANGELES, CA 90029
Los Angeles County (323) 913-0053
JOHNNY K KIM DDS
Dentist (General Practice)
906 N VERMONT AVE
LOS ANGELES, CA 90029
Los Angeles County (323) 617-4180
WILLIAM DAE WON KIM DDS
Dentist (General Practice)
906 N VERMONT AVE
LOS ANGELES, CA 90029
Los Angeles County (323) 522-3382

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 William Dae Won Kim D.D.S. A Dental Corporation's NPI number?

The NPI number for William Dae Won Kim D.D.S. A Dental Corporation is 1639963473. It was assigned to this organization in the NPPES registry on April 7, 2025. The provider is doing business as oxy dental.

Where is William Dae Won Kim D.D.S. A Dental Corporation located?

William Dae Won Kim D.D.S. A Dental Corporation is located at 906 N Vermont Ave, Los Angeles, CA 90029. The listed phone number is (323) 522-3382.

What is William Dae Won Kim D.D.S. A Dental Corporation'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 William Dae Won Kim D.D.S. A Dental Corporation was last updated on April 7, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.