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

Jonathan Kim, DMD

Individual provider Dentist · NPI 1003507633

Jonathan Kim, DMD is a Dentist in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
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

2050 El Cajon Blvd
San Diego, CA 92104-1007
Phone: (619) 637-9774
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 110273 (CA)

Record details

NPI number1003507633
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedMay 16, 2023
Last updated in NPPESNovember 8, 2024
Certification dateNovember 8, 2024

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