SUK WON KIM
NPI 1750024238
Dentist in Daly City, CA

Q: What is Suk Won Kim's NPI number?

The NPI number for Suk Won Kim is 1750024238. It was assigned to this individual provider in the NPPES registry on April 14, 2022.

Q: What is Suk Won 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 Suk Won Kim was last updated on September 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 April 14, 2022

211 EASTMOOR AVE, DALY CITY, CA 94015(650) 550-3923 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Suk Won Kim NPPES

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

SUK WON KIM (NPI 1750024238) is an individual dentist in Daly City, California, licensed in California (108979) and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1750024238

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameSUK WON KIM

Location Address211 EASTMOOR AVEDaly City, CA 94015-2036

Mailing Address211 Eastmoor AveDaly City, CA 94015-2036 · (650) 550-3923

Phone(650) 550-3923

Sole ProprietorYes

Enumeration DateApril 14, 2022

Last NPPES UpdateSeptember 25, 2023

NPPES CertifiedSeptember 24, 2023

✔ NPI 1750024238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 108979

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

211 EASTMOOR AVE, Daly City, CA 94015

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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, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES 20

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

NORTH EAST MEDICAL SERVICES

Pharmacy (Community/Retail Pharmacy)