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

Individual provider Dentist · NPI 1275985384

Dr. Jefferson Kim, DMD is a Dentist in San Diego, California. Licensed in Arizona and California. Registered with an NPI since 2016.

Licensed in
AZ, CA
In the registry since
2016
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

5550 Carmel Mountain Rd Ste 101
San Diego, CA 92130-4861
Phone: (858) 251-1407
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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 DDS102616 (CA)
Dentist Taxonomy 122300000X · Licence D009548 (AZ)

Record details

NPI number1275985384
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 13, 2016
Last updated in NPPESOctober 9, 2018

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