Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Douglas Kim, DDS

Individual provider Dentist · NPI 1083045173

Dr. Douglas Kim, DDS is a Dentist in Anaheim, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2013
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

2801 W Ball Rd Ste 10
Anaheim, CA 92804-4900
Phone: (714) 527-5656
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 63129 (CA)

Record details

NPI number1083045173
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedNovember 27, 2013
Last updated in NPPESApril 15, 2015
Mailing address2801 W Ball Rd, Suite 10, Anaheim, CA 92804-4900

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