Dr. Kihyo Kim , DDS
Dentist - General Practice • Montclair, CA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kihyo Kim has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Kihyo Kim, DDS was a registered Dentist - General Practice practicing in Montclair, CA. Throughout an active medical career spanning 13 years, Dr. Kim provided care at the practice location at 9625 MONTE VISTA AVE STE 105 until profile deactivation on 2020-04-21.
Practice Location & Contact Primary Location
9625 Monte Vista Ave Ste 105
Montclair, CA 917632200
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Montclair, CA
Practicing in Montclair, CA (18734 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on April 21, 2020
Registered at 9655 MONTE VISTA STE 406, MONTCLAIR, CA 91763 (Tel: 9096268214)
Registered at 9655 MONTE VISTA STE 406, MONTCLAIR, CA 91763 (Tel: 9096268214)
NPI status registered as active in NPPES database
Registered at 9625 MONTE VISTA AVE STE 105, MONTCLAIR, CA 917632200 (Tel: 9096268214)
Registered at 9625 MONTE VISTA AVE STE 105, MONTCLAIR, CA 917632200 (Tel: 9096268214)
Recorded as KIHYO KIM, DDS
Dentist (License #B24812 in CA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
9625 Monte Vista Ave Ste 105
Montclair, CA 917632200
Phone: 9096268214
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