Jongguon Kim DDS Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JONGGUON KIM DDS DENTAL CORPORATION

Doing business as

Smarteeth Dental

Practice address

1973 Foothill Parkway
Suite 102
Corona, CA 92881

Phone

(951) 256-4556

NPI assigned

Oct 10, 2019

Organization subpart

No

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

Authorized official

Name

Jongguon Kim, DDS

Title

Dentist

Phone

(951) 256-4556

Specialties & licenses 1

Addresses

Other names 1

• Smarteeth Dental Doing business as

Locations

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570665600000",
    "number": "1861034944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4128 POMPIA WAY",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928830687",
            "telephone_number": "909-342-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1973 FOOTHILL PARKWAY",
            "address_2": "SUITE 102",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "92881",
            "telephone_number": "951-256-4556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONGGUON KIM DDS DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-10",
        "last_updated": "2019-10-10",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JONGGUON",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "951-256-4556",
        "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": "Smarteeth Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mason Patrick Jones
• Megan Jones
• Ryan Jones
• Tocinda Jones, RN
• Tyler Burke Jones
• Jason Joo
• Chloe Michelle Jordan
• Jennifer Jordan, LMFT
• Ayana Raelene Jordon
• Casimiro D Jose Jr.

• Dental Clinic/Center in Corona, CA
• Providers in Corona, 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 10, 2019; 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.