WALNUT PLAZA DENTAL
NPI 1659943280
Clinic/Center - Dental in Manteca, CA

Active since July 13, 2021
903 W CENTER ST STE 5, MANTECA, CA 95337(209) 824-0214(209) 824-0812 Get Directions Write a Review

NPPES record last updated: August 18, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 18, 2022, Aug 9, 2021, Jul 13, 2021 (3 updates tracked since 2021).

About Walnut Plaza Dental NPPES

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

WALNUT PLAZA DENTAL (NPI 1659943280) is a healthcare organization registered as a dental in Manteca, California and active in the NPI registry since July 2021. The organization lists Matthew Kim, Ceo, as its authorized official.

NPPES Registry Identity

NPI1659943280
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameMATTHEW KIM DENTAL CORP
Location Address903 W CENTER ST STE 5Manteca, CA 95337-7315
Mailing Address903 W Center St Ste 5Manteca, CA 95337-7315 · (209) 824-0214 · Fax (209) 824-0812
Fax(209) 824-0812
Organization SubpartNo
Authorized OfficialMatthew KimCeo · (209) 642-9340
Enumeration DateJuly 13, 2021
Last NPPES UpdateAugust 18, 20223 updates tracked since enumeration
NPPES CertifiedAugust 18, 2022
NPI 1659943280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
903 W CENTER ST STE 5, Manteca, CA 95337

Other Names 1

Doing Business AsWalnut Plaza Dental

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.

Clinic/Center (Dental)
903 W CENTER ST STE 5
MANTECA, CA 95337
Dentist
903 W CENTER ST STE 5
MANTECA, CA 95337

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 Matthew Kim Dental Corp's NPI number?

The NPI number for Matthew Kim Dental Corp is 1659943280. It was assigned to this organization in the NPPES registry on July 13, 2021. The provider is doing business as Walnut Plaza Dental.

Where is Matthew Kim Dental Corp located?

Matthew Kim Dental Corp is located at 903 W Center St Ste 5, Manteca, CA 95337. The listed phone number is (209) 824-0214.

What is Matthew Kim Dental Corp'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 Matthew Kim Dental Corp was last updated on August 18, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.