DR. SCARLET KIM DDS NPI 1033562939

NPI Information

NPI: 1033562939
Provider Name: DR. SCARLET KIM, DDS
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
24481 ALICIA PKWY # 3
MISSION VIEJO, CA
ZIP 92691
Phone: (949) 586-9800
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DR. Scarlet Kim, DDS is a pediatric dentistry dentist in Mission Viejo, CA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. DR. Scarlet Kim, DDS NPI is 1033562939. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

24481 ALICIA PKWY # 3
MISSION VIEJO, CA
ZIP 92691-534
Phone: (949) 586-9800

The enumeration date for this NPI number is 7/15/2016 and was last updated on 11/24/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	D10635	OREGON	No
2	1223G0001X	Dentist	General Practice	00000000	WASHINGTON	No
3	1223P0221X	Dentist	Pediatric Dentistry	104759	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	PENDING	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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