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PARK AVENUE COSMETIC DENISTRY
NPI 1679131478
Dentist - General Practice in Pomona, CA

Active since June 05, 2019
1220 N PARK AVE, POMONA, CA 91768(909) 397-9791 Get Directions Write a Review

NPPES record last updated: September 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 9, 2020, Jun 18, 2020, Jun 5, 2019 (3 updates tracked since 2019).

About Park Avenue Cosmetic Denistry NPPES

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

PARK AVENUE COSMETIC DENISTRY (NPI 1679131478) is a healthcare organization registered as a general practice in Pomona, California and active in the NPI registry since June 2019. The organization lists Joo Hyung Hyung Kim, Ceo/dentist, as its authorized official.

NPPES Registry Identity

NPI1679131478
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJD KIM PROFESSIONAL DENTAL CORP.
Location Address1220 N PARK AVEPomona, CA 91768-3029
Mailing Address1220 N Park AvePomona, CA 91768-3029 · (909) 397-9791
Phone(909) 397-9791
Organization SubpartNo
Authorized OfficialJoo Hyung Hyung KimCeo/dentist · (213) 595-1410
Enumeration DateJune 5, 2019
Last NPPES UpdateSeptember 9, 20203 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2020
✔ NPI 1679131478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
1220 N PARK AVE, Pomona, CA 91768
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Other Names 1

Doing Business AsPark Avenue Cosmetic Denistry

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

JOANNE J .KIM DDS INC
Dentist
1220 N PARK AVE
POMONA, CA 91768
Los Angeles County (909) 397-9791
DR. STEVEN DOUGLAS SZARZYNSKI D.D.S.
Dentist (General Practice)
1220 N PARK AVE
POMONA, CA 91768
Los Angeles County (909) 623-1764
ANDREW LE NGUYEN DDS DENTAL CORPORATION
Dentist
1220 N PARK AVE
POMONA, CA 91768
Los Angeles County (909) 397-9791

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 Jd Kim Professional Dental Corp.'s NPI number?

The NPI number for Jd Kim Professional Dental Corp. is 1679131478. It was assigned to this organization in the NPPES registry on June 5, 2019. The provider is doing business as Park Avenue Cosmetic Denistry.

Where is Jd Kim Professional Dental Corp. located?

Jd Kim Professional Dental Corp. is located at 1220 N Park Ave, Pomona, CA 91768. The listed phone number is (909) 397-9791.

What is Jd Kim Professional Dental Corp.'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 Jd Kim Professional Dental Corp. was last updated on September 9, 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.