DR. SONG KYUN KIM D.D.S.
NPI 1700115342
Dentist in Palmdale, CA

Q: What is Song Kim's NPI number?

The NPI number for Song Kim is 1700115342. It was assigned to this individual provider in the NPPES registry on December 10, 2009.

Q: What is Song Kim's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Song Kim was last updated on November 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since December 10, 2009

4635 E AVENUE S, STE C102-103, PALMDALE, CA 93552(661) 349-8280 Get Directions Write a Review

NPPES record last updated: November 21, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 21, 2017, Feb 22, 2017, Aug 25, 2016 (3 updates tracked since 2016).

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About Dr. Song Kyun Kim D.d.s. NPPES

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

DR. SONG KYUN KIM D.D.S. (NPI 1700115342) is an individual dentist in Palmdale, California, licensed in California (58863) and active in the NPI registry since December 2009.

NPPES Registry Identity

NPI1700115342

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. SONG KYUN KIMCredential: D.D.S.

Location Address4635 E AVENUE S, STE C102-103Palmdale, CA 93552

Mailing Address4635 E Avenue S, Ste C102-103Palmdale, CA 93552 · (661) 349-8280

Phone(661) 349-8280

Sole ProprietorNo

Enumeration DateDecember 10, 2009

Last NPPES UpdateNovember 21, 20173 updates tracked since enumeration

✔ NPI 1700115342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 58863

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

4635 E AVENUE S, Palmdale, CA 93552

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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.

SKIM DDS INC

Dentist

4635 E AVENUE S
PALMDALE, CA 93552

Los Angeles County (661) 349-8280

SKIM DDS INC

Dentist

4635 E AVENUE S, # C103
PALMDALE, CA 93552

Los Angeles County (661) 349-8280

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 Song Kim's NPI number?

The NPI number for Song Kim is 1700115342. It was assigned to this individual provider in the NPPES registry on December 10, 2009.

Where is Song Kim located?

Song Kim practices at 4635 E Avenue S Ste C102-103, Palmdale, CA 93552. The listed phone number is (661) 349-8280.

What is Song Kim's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Song 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 5 other insurers list Song 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 Song Kim was last updated on November 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.