JONGGUON KIM DDS DENTAL CORPORATION (NPI# 1861034944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861034944 |
| Entity Type | Organization |
| Organization Name | JONGGUON KIM DDS DENTAL CORPORATION |
| Practice Address |
1973 Foothill Parkway Suite 102 Corona CA 92881 |
| Mailing Address |
4128 Pompia Way Corona CA 92883-0687 |
| Practice Telephone | 9512564556 |
| Mailing Telephone | 9093423009 |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2019-10-10 |
| Authorized Official Name | JONGGUON KIM (DENTIST) |
| Authorized Official Telephone | 9512564556 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Smarteeth Dental | Doing Business As Name - Organization |
| Street Address |
1973 FOOTHILL PARKWAY SUITE 102 |
| City | CORONA |
| State | CA |
| Zip Code | 92881 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326682519 | Kadour and Hattar Inc | Pharmacy | 1973 Foothill Pkwy, Bldg F, Ste 106, Corona, CA 92881 | 2019-10-31 |
| 1952874968 | Sasha M Dunn | Behavior Technician | 2144 Wembley Lane, Corona, Corona, CA 92881 | 2019-01-03 |
| 1053880450 | Tori Bissett Bowyer | Behavioral Analyst | 3439 White Sage St, Corona, CA 92881 | 2018-11-15 |
| 1104351097 | Victoria S. Brown | Family Medicine | 2071 Compton Ave #103, Corona, CA 92881 | 2017-04-27 |
| 1740695493 | Zoha Fazel | Counselor | 1240 E Ontario Ave Ste 102-182, Corona, CA 92881 | 2014-06-20 |
| 1720347222 | Neda Arjomandi | Podiatrist | 1881 California Ave Ste 102, Corona, CA 92881 | 2012-05-03 |
| 1891067864 | Valley Laparoscopic Surgical Associates, Inc. | Specialist | 2083 Compton Ave Ste 104, Corona, CA 92881 | 2012-02-06 |
| 1922396191 | Michelle Ann Mueller | Dietitian, Registered | 1800 Firethorne Plance, Apt. 108, Corona, CA 92881 | 2011-07-21 |
| 1558668772 | Jenna Lalas Eugenio | Physician Assistant | 2097 Compton Ave Ste 103, Corona, CA 92881 | 2011-02-24 |
| 1407161904 | Melissa Danel Keil | Doula | 1260 Emeraldport Street, Corona, CA 92881 | 2010-08-10 |
| Find all providers in zip 92881 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912507203 | George K Nguyen Dds, PC | Clinic/Center | 2097 Compton Ave Ste 104, Corona, CA 92881-7289 | 2020-10-27 |
| 1932679560 | Abbey Dental, Inc. | Clinic/Center | 650 S Lincoln Ave Suite #102, Corona, CA 92282 | 2018-11-27 |
| 1699242834 | Dr Shahoveisi Inc | Clinic/Center | 161 N Mckinley St Ste 102, Corona, CA 92879-6530 | 2018-10-25 |
| 1316371438 | R. Patel Dds & S. Patel Dds, A Dental Corporation | Clinic/Center | 1185 Magnolia Ave Ste K, Corona, CA 92879-3218 | 2013-08-26 |
| 1295179653 | Shefali Patel D.m.d.,inc. | Clinic/Center | 1240 Border Ave, Corona, CA 92882-3801 | 2013-04-29 |
| 1386980589 | Shikha Banerjee Dds Inc | Clinic/Center | 2097 Compton Ave., Bldg 1 Ste 102, Corona, CA 92881-6665 | 2012-12-17 |
| 1871743831 | Bin H. Park D.d.s. Inc. | Clinic/Center | 782 N Main St, Suite E, Corona, CA 92880-1403 | 2008-09-26 |
| 1396369807 | Bhavik Bhakta Dds Inc | Clinic/Center | 770 Magnolia Ave Ste 1a, Corona, CA 92879-3121 | 2020-05-31 |
| 1427684034 | Quynh Tran Dds, Inc | Clinic/Center | 225 E 3rd St Ste A, Corona, CA 92879-1461 | 2020-03-14 |
| 1720610231 | Nikahd Dental Inc | Clinic/Center | 720 Magnolia Ave Ste C1, Corona, CA 92879-3119 | 2020-02-12 |
| Find all providers in CORONA | ||||
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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.