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

SANG WOO KIM
NPI 1861889347
Dentist - Oral and Maxillofacial Surgery in Glendora, CA

Active since April 22, 2015
410 S GLENDORA AVE STE 220, GLENDORA, CA 91741(626) 914-4587 Get Directions Write a Review

NPPES record last updated: March 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 11, 2025, Feb 13, 2019 (2 updates tracked since 2019).

About Sang Woo Kim NPPES

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

SANG WOO KIM (NPI 1861889347) is an individual oral and maxillofacial surgery provider in Glendora, California, licensed in California (103541) and active in the NPI registry since April 2015. He maintains a secondary practice location in Dallas.

NPPES Registry Identity

NPI1861889347
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameSANG WOO KIM
Location Address410 S GLENDORA AVE STE 220Glendora, CA 91741-6207
Mailing Address410 S Glendora Ave Ste 220Glendora, CA 91741-6207
Phone(626) 914-4587
Sole ProprietorNo
Enumeration DateApril 22, 2015
Last NPPES UpdateMarch 11, 20252 updates tracked since enumeration
NPPES CertifiedMarch 11, 2025
✔ NPI 1861889347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in CA · 103541
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
410 S GLENDORA AVE STE 220, Glendora, CA 91741
Open in Google Maps ↗

Secondary Practice Location 1

Location 15323 Harry Hines BlvdDallas, TX 75390-3552 · Phone (214) 590-8000

Accepted Insurance

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

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 Sang Woo Kim's NPI number?

The NPI number for Sang Woo Kim is 1861889347. It was assigned to this individual provider in the NPPES registry on April 22, 2015.

Where is Sang Woo Kim located?

Sang Woo Kim practices at 410 S Glendora Ave Ste 220, Glendora, CA 91741. The listed phone number is (626) 914-4587.

What is Sang Woo Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does Sang Woo Kim accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 4 other insurers list Sang Woo 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 Sang Woo Kim was last updated on March 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.