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

Dr. Yong Soo Kim, DDS

Individual provider General Practice Dentistry · NPI 1265684161

Dr. Yong Soo Kim, DDS is a General Practice Dentistry in Fort Irwin, California. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2008
Specialties on file
3
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

171 Inner Loop Rd
Fort Irwin, CA 92310
Phone: (760) 380-3166
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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 7113006-9921 (UT)
General Practice Dentistry Taxonomy 1223G0001X · Licence 7113006 (UT)
General Practice Dentistry Taxonomy 1223G0001X · Licence 7113006-8903 (UT)

Record details

NPI number1265684161
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedOctober 22, 2008
Last updated in NPPESDecember 20, 2023
Certification dateDecember 18, 2023
Mailing addressShuttleworth Dental Clinic, 171 Inner Loop Rd., Fort Irwin, CA 92310-5080

Other providers in Fort Irwin