Ansony Kim, DDS Inc
Organization Active NPI Pediatric Dentistry · Oakley, CA
NPI 1629629134 · NPPES record last updated May 19, 2020
Key facts
- NPI
- 1629629134
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- Legal business name
- ANSONY KIM, DDS INC
- Practice address
- 2591 Main St
Oakley, CA 94561-1854 - Phone
- (925) 690-5437
- Fax
- (925) 690-5438
- NPI assigned
- Sep 25, 2019
- Organization subpart
- No
Authorized official
- Name
- Dr. Ansony Jin Kim, DDS
- Title
- Owner
- Phone
- (510) 334-3622
Practitioners 2
-
Ansony Kim, D.D.S
-
Phi Luong, D.D.S
National Provider Directory
Locations
2591 Main St
Oakley, CA 94561
Phone (925) 690-5437
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry |
1223P0221X | Yes |
Addresses
Primary practice location
2591 Main St
Oakley, CA 94561-1854
Mailing address
PO Box 4604
Walnut Creek, CA 94596-0604
Phone (510) 334-3622
Other providers in Oakley, CA
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All providers in Oakley, CA · Pediatric Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.