SKIM DDS INC NPI 1003320565

NPI Information

  • NPI: 1003320565
  • Provider Name: SKIM DDS INC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Doing Business As: PREMIER DENTAL SUITE
  • Address: 4635 E AVENUE S # C102
    PALMDALE, CA
    ZIP 93552
  • Phone: (661) 349-8280

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NPI Details

SKIM DDS INC is a dental clinic center in Palmdale, CA. SKIM DDS INC NPI is 1003320565. The provider is registered as an organization entity type.
The provider Is Doing Business As Premier Dental Suite.

The provider's business location address is:

4635 E AVENUE S # C102
PALMDALE, CA
ZIP 93552-483
Phone: (661) 349-8280

The provider's authorized official is Song K Kim .
The authorized official title is President and has the following contact phone number (661) 349-8280.

The enumeration date for this NPI number is 11/20/2017 and was last updated on 11/20/2017.

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
1261QD0000XClinic/CenterDental58863CALIFORNIAYes

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: 3/30/2025

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