Stephen Kim Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

STEPHEN KIM DENTAL CORPORATION

Practice address

1041 E Yorba Linda Blvd Ste 301
Placentia, CA 92870-3751

Phone

(714) 524-8866

NPI assigned

Oct 24, 2022

Organization subpart

No

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

Authorized official

Name

Stephen Kim, DDS

Title

President

Phone

(503) 679-8527

Specialties & licenses 1

Addresses

Other names 1

• Linda Vista Family Dental Doing business as

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1629795364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 SHERWOOD AVE",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928702323",
            "telephone_number": "503-679-8527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 E YORBA LINDA BLVD STE 301",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703751",
            "telephone_number": "714-524-8866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN KIM DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "503-679-8527",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Linda Vista Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joshua Patrick Stafford
• Sharon Lee Stafford, PHD
• Julie Stefan, LCSW
• Louise Lefren Steiner, M.S.,MFT
• Stephen Earl Lazarus, M.D., Inc.
• Saylor Paige Stephenson
• Kimberly Irene Stermer, M.A., CCC-SLP
• Steve S Lee, Professional Dental Corporation
• Richard Hal Stewardson, MD
• Julie Marie Stewart, D.C.

• Dental Clinic/Center in Placentia, CA
• Providers in Placentia, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.