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

Kelly Yeon Su Kim, DDS

Individual provider Pediatric Dentistry · NPI 1053625715

Kelly Yeon Su Kim, DDS is a Pediatric Dentistry in Laguna Niguel, California. Licensed in California and New York. Registered with an NPI since 2010.

Licensed in
CA, NY
In the registry since
2010
Specialties on file
2
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

30001 Crown Valley Pkwy Ste G
Laguna Niguel, CA 92677-1723
Phone: (949) 495-4245
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 58075 (CA)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 055114 (NY)

Record details

NPI number1053625715
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 4, 2010
Last updated in NPPESJune 16, 2011

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