Individual provider · Type 1 NPI
Charles Kim, DDS
General Practice Dentistry · Fremont, CA
NPI number
1124969167
Active
Practice location
104 Black Mountain Cir
Fremont, CA 94536-6507
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 112801 (CA) |
General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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About NPI 1124969167
Charles Kim, DDS's National Provider Identifier is 1124969167, issued on Apr 3, 2026. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fremont, CA. The record was last updated on Apr 3, 2026.