Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093933400 Individual Practitioner Male Practitioner

Dr. Stanley Shinyeong Kim , DDS

Dentist • Fullerton, CA

Professional Overview & Biography Verified Profile Summary

Dr. Stanley Kim, DDS is a registered healthcare professional specializing in Dentist in Fullerton, CA. Practice services are available at 701 S RAYMOND AVE STE 4B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

701 S Raymond Ave Ste 4b

Fullerton, CA 928315201

Telephone 7149922999
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Fullerton, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 14.4 Yrs
Regional Practice Density
53 Specialists

Practicing in Fullerton, CA (15331 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License CA 58177

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1184108938
NPI 1184741738

Doctor of Dental Surgery

NPI 1629197330

Doctor of Dental Surgery

NPI 1730208216

Doctor of Dental Surgery

Dr. Samuel Berke , DDS

Dentist - General Practice

NPI 1790859072

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 27, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location January 27, 2014

Registered at 701 S RAYMOND AVE STE 4B, FULLERTON, CA 928315201 (Tel: 7149922999)

📍
Updated Business Mailing Address January 27, 2014

Registered at 441 ENCLAVE CIR APT 205, COSTA MESA, CA 926268263 (Tel: 7149041183)

👤
Provider Name / Credentials Updated January 27, 2014

Recorded as STANLEY KIM, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2014

Dentist (License #58177 in CA)

🟢
Initial NPI Registration & Enumeration April 23, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1093933400
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 23, 2007
Last Update: January 27, 2014
Sole Proprietor: No

Mailing Address

441 Enclave Cir Apt 205

Costa Mesa, CA 926268263

Phone: 7149041183

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.