KENNY KIM & MARIE NGUYEN, DENTAL CORPORATION (NPI# 1528292562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528292562 |
| Entity Type | Organization |
| Organization Name | KENNY KIM & MARIE NGUYEN, DENTAL CORPORATION |
| Practice Address |
1720 Hamilton Ave San Jose CA 95125-5424 |
| Practice Telephone | 4082696982 |
| Practice Fax Number | 4082694133 |
| Mailing Telephone | 4082696982 |
| Mailing Fax Number | 4082694133 |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2016-09-26 |
| Authorized Official Name | DR. KENNY KIM (PRESIDENT) |
| Authorized Official Telephone | 4082696982 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
1720 HAMILTON AVE |
| City | SAN JOSE |
| State | CA |
| Zip Code | 95125-5424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780714964 | Choo Paul Park | Dentist | 1720 Hamilton Ave, San Jose, CA 95125-5424 | 2007-03-06 |
| 1174733562 | Kenny Kim | Dentist | 1720 Hamilton Ave, San Jose, CA 95125-5424 | 2007-05-23 |
| 1669681193 | Marie T. Nguyen | Dentist | 1720 Hamilton Ave, San Jose, CA 95125-5424 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245431 | Carmen J. Frank | Marriage & Family Therapist | 913 Willow St., Suite 103, San Jose, CA 95125 | 2020-08-12 |
| 1376197848 | Mariam Samir Abadir | Dentist | 1670 Westwood Dr. Suite K, San Jose, CA 95125 | 2019-08-01 |
| 1750870747 | Gertrud Stojancic | Massage Therapist | 3315 Almaden Expressway, # 27/29, San Jose, CA 95125 | 2018-05-04 |
| 1659809259 | Edward Escoto | Assistant Behavior Analyst | 2075 Lincoln Ave Ste D, San Jose, CA 95125 | 2017-05-25 |
| 1104288422 | Kristin Ann Dessau | Counselor | 1261 Lincoln Avenue, Suite 202, San Jose, CA 95125 | 2016-03-25 |
| 1275964488 | Indian Health Center of Santa Clara Valley | Clinic/Center | 1685 Westwood Dr Ste 1, San Jose, CA 95125 | 2013-12-13 |
| 1598042905 | Walgreens | Exclusive Provider Organization | 2585 Almaden Road, San Jose, CA 95125 | 2011-11-14 |
| 1881981488 | Kevin Jia-chian Yen | Dentist | 1660 Willow St Ste 5, San Jose, CA 95125 | 2011-07-02 |
| 1699093724 | Lokahi Acupuncture, Inc. | Acupuncturist | 1688 Willow Street, Suite B, San Jose, CA 95125 | 2010-05-13 |
| 1538482468 | Mark Lucius Yoslow | Psychologist | 970 Minnesota Avenue, San Jose, CA 95125 | 2010-03-06 |
| Find all providers in zip 95125 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023623865 | Nguyen and Tran Dental Corporation | Dentist | 6130 Hellyer Avenue, San Jose, CA 95138 | 2020-09-09 |
| 1699307835 | Simranpreet Kaur | Dentist | 3323 Arqueado Dr, San Jose, CA 95148-2106 | 2020-02-05 |
| 1629616479 | Colin S. Ilas D.d.s. | Dentist | 1206 N Capitol Ave Ste 101, San Jose, CA 95132-2572 | 2019-12-11 |
| 1376197848 | Mariam Samir Abadir | Dentist | 1670 Westwood Dr. Suite K, San Jose, CA 95125 | 2019-08-01 |
| 1427601400 | Parisa Radi | Dentist | 7318 Glenview Dr, San Jose, CA 95120-5806 | 2019-07-19 |
| 1346802469 | Trammie Bui D.d.s., Inc | Dentist | 228 N Jackson Ave Ste 50, San Jose, CA 95116-1602 | 2019-06-29 |
| 1922669597 | Tracy Filler, Dmd, Inc. | Dentist | 1569 Lexann Drive, Suite 202, San Jose, CA 95121 | 2019-06-25 |
| 1508346818 | Lai and Wu Dental Corp | Dentist | 670 River Oaks Pkwy Ste J, San Jose, CA 95134-1988 | 2018-08-16 |
| 1477039998 | Jae Hyuk Yun | Dentist | 651 Eden Ave, San Jose, CA 95117-2209 | 2018-07-18 |
| 1699260935 | Rodolfo Hernandez Morales | Dentist | 171 George St, San Jose, CA 95110-2118 | 2018-06-28 |
| Find all providers in SAN JOSE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.