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

Dr. John Y. Kim, DDS

Individual provider Dentist · NPI 1902986250

Dr. John Y. Kim, DDS is a Dentist in Surprise, Arizona. Licensed in Arizona. Registered with an NPI since 2006.

Licensed in
AZ
In the registry since
2006
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

14545 W Grand Ave Ste 111
Surprise, AZ 85374-7278
Phone: (623) 975-9775
Fax: (623) 975-9449
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 5654 (AZ)

Record details

NPI number1902986250
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedOctober 17, 2006
Last updated in NPPESJuly 8, 2007
Mailing address14545 W Grand Ave, Suite 111, Surprise, AZ 85374-7278

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