1. Home
  2. Directory
  3. California
  4. Duarte
  5. Dentist
  6. NPI Profile

CHANGSOOK KIM DDS A DENTAL CORP
NPI 1710018254
Dentist - General Practice in Duarte, CA

Active since March 08, 2007
1755 E HUNTINGTON DR, #101, DUARTE, CA 91010(626) 357-9909(626) 358-7245 Get Directions Write a Review

NPPES record last updated: July 11, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Changsook Kim Dds A Dental Corp NPPES

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

CHANGSOOK KIM DDS A DENTAL CORP (NPI 1710018254) is a healthcare organization registered as a general practice in Duarte, California and active in the NPI registry since March 2007. The organization lists Changsook Kim, Dentist, as its authorized official.

NPPES Registry Identity

NPI1710018254
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCHANGSOOK KIM DDS A DENTAL CORP
Location Address1755 E HUNTINGTON DR, #101Duarte, CA 91010
Mailing Address1755 E Huntington Drive, #101Duarte, CA 91010 · (626) 357-9909 · Fax (626) 358-7245
Phone(626) 357-9909
Fax(626) 358-7245
Organization SubpartNo
Authorized OfficialChangsook KimDentist · (626) 357-9909
Enumeration DateMarch 8, 2007
Last NPPES UpdateJuly 11, 2008
✔ NPI 1710018254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 39166
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.
Also ListedDentistTaxonomy 122300000X · License 39166CA (CA)
1755 E HUNTINGTON DR, Duarte, CA 91010
Open in Google Maps ↗

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

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

DR. CHANGSOOK KIM DDS
Dentist
1755 E HUNTINGTON DR, #101
DUARTE, CA 91010
Los Angeles County (626) 357-9909

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 Changsook Kim Dds A Dental Corp's NPI number?

The NPI number for Changsook Kim Dds A Dental Corp is 1710018254. It was assigned to this organization in the NPPES registry on March 8, 2007.

Where is Changsook Kim Dds A Dental Corp located?

Changsook Kim Dds A Dental Corp is located at 1755 E Huntington Dr #101, Duarte, CA 91010. The listed phone number is (626) 357-9909.

What is Changsook Kim Dds A 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 Changsook Kim Dds A Dental Corp was last updated on July 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.