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

Dr. Timothy Y Kim, DMD

Individual provider Dentist · NPI 1609482587

Dr. Timothy Y Kim, DMD is a Dentist in Antioch, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
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

5117 Lone Tree Way
Antioch, CA 94531-8484
Phone: (310) 365-8643
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 105401 (CA)

Record details

NPI number1609482587
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedSeptember 16, 2020
Last updated in NPPESMay 6, 2026
Certification dateMay 6, 2026

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