MRS. UNYONG KIM


Address: 11943 Prospect Hill Dr, Gold River, CA 95670-7528
Phone: 9167190064

MRS. UNYONG KIM (NPI# 1669810347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669810347
Entity Type Individual
Full Name MRS. UNYONG KIM
Credential DDS
Practice Address 11943 Prospect Hill Dr
Gold River
CA 95670-7528
Practice Telephone 9167190064
Enumeration Date 2013-06-04
Last Update Date 2013-06-04
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223D0004X Dentist
Specialization: Dentist Anesthesiologist
62248 CA Dental Providers

Office Location

Street Address 11943 PROSPECT HILL DR
City GOLD RIVER
State CA
Zip Code 95670-7528

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Taxonomy Information

Taxonomy Code 1223D0004X
Grouping Dental Providers
Classification Dentist
Specialization Dentist Anesthesiologist

Taxonomy Definition

A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation’s Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.
Notes: Source: The American Society of Dentist Anesthesiologists [1/1/2013: new]

Providers in the same taxonomy and state

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1710548375 San Diego Dental Anesthesia Dentist 1287 Carlsbad Village Drive, Carlsbad, CA 92008 2019-06-25
1740770650 Jana Sabo Dds Inc Dentist 1196 Valencia St Unit 106, San Francisco, CA 94110-3027 2018-05-16
1124524236 Kristin Chino Dentist 225 4th Ave Apt 204, Venice, CA 90291-8607 2018-04-05
1831644053 Marco Savittieri Dentist 3715 Ruette De Vl, San Diego, CA 92130 2016-08-17
1245680271 Ryan Cheung Dentist 8055 West Manchester Avenue, Suite 204, Playa Del Rey, CA 90293 2016-06-21
1245687706 Wonil Edward Jung Dentist 14320 Ventura Blvd, Ste 223, Sherman Oaks, CA 91423-2717 2016-05-15
1861848152 Phelon Rammell Dentist 24837 Tulip Ave, Loma Linda, CA 92354-3405 2016-05-05
1497115547 Wolf and Bear Dental Care LLC Dentist 3023 Bunker Hill St Ste 105, San Diego, CA 92109-5706 2016-03-02
1871964742 Rachelle Kim Dentist 25246 Barton Rd Apt 8, Loma Linda, CA 92354-3055 2015-10-16
1346651262 Stephen Cotter Dentist 3909 Sierra Linda Dr, Escondido, CA 92025-7653 2014-05-13
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Competitor

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City GOLD RIVER
Zip Code 95670

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Dataset Information

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.

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