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SOODONG KIM D.D.S.
NPI 1689720740
Dentist - General Practice in San Bernardino, CA

Active since January 25, 2007
1728 N D ST, SAN BERNARDINO, CA 92405(909) 886-0087(909) 886-3533 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Soodong Kim D.d.s. NPPES

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

SOODONG KIM D.D.S. (NPI 1689720740) is an individual general practice provider in San Bernardino, California, licensed in California (38859) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1689720740
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameSOODONG KIMCredential: D.D.S.
Location Address1728 N D STSan Bernardino, CA 92405-4418
Mailing Address2615 Canada Blvd, #303Glendale, CA 91208-2076 · (818) 247-2327 · Fax (909) 886-3533
Phone(909) 886-0087
Fax(909) 886-3533
Sole ProprietorYes
Enumeration DateJanuary 25, 2007
Last NPPES UpdateJuly 9, 2007
✔ NPI 1689720740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 38859
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.
1728 N D ST, San Bernardino, CA 92405
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Other Identifiers 2

MedicaidG94047-01CA
OtherB38859-01CA · California Healthy Family

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

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.

WOO YONG LEE DDS INC
Clinic/Center (Dental)
1728 N D ST
SAN BERNARDINO, CA 92405
San Bernardino County (909) 886-0087
WOO YONG LEE D.D.S.
Dentist (General Practice)
1728 N D ST
SAN BERNARDINO, CA 92405
San Bernardino County (909) 886-0087

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 Soodong Kim's NPI number?

The NPI number for Soodong Kim is 1689720740. It was assigned to this individual provider in the NPPES registry on January 25, 2007.

Where is Soodong Kim located?

Soodong Kim practices at 1728 N D St, San Bernardino, CA 92405. The listed phone number is (909) 886-0087.

What is Soodong Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Soodong Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Soodong Kim 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 Soodong Kim was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.