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SUNG SOO KIM DDS
NPI 1932497500
Dentist - General Practice in Fort Irwin, CA

Active since July 18, 2011
4TH AND INNER LOOP ROAD, BLDG 171, FORT IRWIN, CA 92310(719) 526-5537 Get Directions Write a Review

NPPES record last updated: March 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 29, 2023, Sep 16, 2020 (2 updates tracked since 2020).

About Sung Soo Kim Dds NPPES

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

SUNG SOO KIM DDS (NPI 1932497500) is an individual general practice provider in Fort Irwin, California, licensed in Virginia (0401413002) and active in the NPI registry since July 2011.

NPPES Registry Identity

NPI1932497500
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameSUNG SOO KIMCredential: DDS
Location Address4TH AND INNER LOOP ROAD, BLDG 171Fort Irwin, CA 92310
Mailing Address1667 Cochrane Cir Bldg 7495Fort Carson, CO 80913-4603 · (719) 526-5537
Phone(719) 526-5537
Sole ProprietorNo
Enumeration DateJuly 18, 2011
Last NPPES UpdateMarch 29, 20232 updates tracked since enumeration
NPPES CertifiedMarch 29, 2023
✔ NPI 1932497500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in VA · 0401413002
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.
4TH AND INNER LOOP ROAD, Fort Irwin, CA 92310
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Other Identifiers 1

Other0401413002VA · Dentist License

Other Providers at the Same Location NPPES 9

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

NICHOLAS GUAJARDO BOHLING
Dental Assistant
4TH AND INNER LOOP ROAD, BLDG 171
FORT IRWIN, CA 92310
San Bernardino County (719) 526-5537
DR. JOSHUA HYUNGKYU LEE D.D.S.
Dentist (General Practice)
4TH AND INNER LOOP ROAD, BLDG 171
FORT IRWIN, CA 92310
San Bernardino County (719) 526-5537
BRYCE EDWARD HARRIS
Dental Assistant
4TH AND INNER LOOP ROAD, BLDG 171
FORT IRWIN, CA 92310
San Bernardino County (719) 526-5537
MYA LATRICE HARRIS
Dental Assistant
4TH AND INNER LOOP ROAD, BLDG 171
FORT IRWIN, CA 92310
San Bernardino County (719) 526-5537
MARIA JOSE BLAZQUEZ-GOMEZ
Dental Assistant
4TH AND INNER LOOP ROAD, BLDG 171
FORT IRWIN, CA 92310
San Bernardino County (719) 526-5537
MALIK KAHLIL FELDER
Dental Assistant
4TH AND INNER LOOP ROAD, BLDG 171
FORT IRWIN, CA 92310
San Bernardino County (719) 526-5537
NHAT TRUONG
Dental Assistant
4TH AND INNER LOOP ROAD, BLDG 171
FORT IRWIN, CA 92310
San Bernardino County (719) 526-5537
MS. KERI LYNN BRANDT RDH
Dental Hygienist
4TH AND INNER LOOP ROAD, BLDG 171
FORT IRWIN, CA 92310
San Bernardino County (719) 526-5537

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 Sung Kim's NPI number?

The NPI number for Sung Kim is 1932497500. It was assigned to this individual provider in the NPPES registry on July 18, 2011.

Where is Sung Kim located?

Sung Kim practices at 4th And Inner Loop Road Bldg 171, Fort Irwin, CA 92310. The listed phone number is (719) 526-5537.

What is Sung Kim'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 Sung Kim was last updated on March 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.