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

Dr. Jason Kim, DDS

Individual provider General Practice Dentistry · NPI 1629302138

Dr. Jason Kim, DDS is a General Practice Dentistry in Fullerton, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2009
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

2220 Smokewood Ave
Fullerton, CA 92831-1107
Phone: (714) 853-5086
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 58856 (CA)

Record details

NPI number1629302138
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedSeptember 30, 2009
Last updated in NPPESOctober 21, 2014
Mailing address2220 Smokewood Ave, Fullerton, CA 92831-1107

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