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

Dr. Ted Tae Yul Im, DDS

Individual provider Dentist · NPI 1114083193

Dr. Ted Tae Yul Im, DDS is a Dentist in Moreno Valley, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
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.

See every abbreviation used in this directory →

Practice location Address checks out

23205 Sunnymead Blvd
Moreno Valley, CA 92553-5246
Phone: (951) 242-6242
Fax: (951) 242-4782
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 40950 (CA)

Record details

NPI number1114083193
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedDecember 28, 2006
Last updated in NPPESSeptember 19, 2016
Mailing address23205 Sunnymead Blvd, Moreno Valley, CA 92553-5246

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