Lee & Kim, DDS, Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

LEE & KIM, DDS, INC

Practice address

13031 Kerry St
Garden Grove, CA 92844-1638

Phone

(714) 638-2141

NPI assigned

Sep 26, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Dong Myung Kim, DDS

Title

Owner

Phone

(714) 638-4042

Specialties & licenses 1

Addresses

Other names 1

• Smile Dental & Implant Center Former legal business name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222387200000",
    "number": "1023268083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13031 KERRY ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441638",
            "telephone_number": "714-638-2141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13031 KERRY ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441638",
            "telephone_number": "714-638-2141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE & KIM, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-26",
        "last_updated": "2008-09-26",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DONG",
        "authorized_official_middle_name": "MYUNG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-638-4042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Dental & Implant Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Yen Ngoc Le, DDS
• Teariana Leach, RADT
• Julia Learned
• Daniel Leblanc
• Jacqueline Ledezma
• Lee Acupuncture Wellness Recover Center
• Nancy Lee-Hata, MD
• Annie Lee
• Boyea Lee
• Brian Lee, DDS

• General Practice Physician in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.