SKIM DDS INC (NPI# 1003320565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003320565 |
| Entity Type | Organization |
| Organization Name | SKIM DDS INC |
| Other Organization Name | PREMIER DENTAL SUITE |
| Practice Address |
4635 E Avenue S # C102 Palmdale CA 93552-4483 |
| Practice Telephone | 6613498280 |
| Mailing Telephone | 6613498280 |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2017-11-20 |
| Authorized Official Name | DR. SONG K KIM (PRESIDENT) |
| Authorized Official Telephone | 6613498280 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
58863 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Premier Dental Suite | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386192821 | Skim Dds Inc | Dentist | 4635 E Avenue S, # C103, Palmdale, CA 93552-4483 | 2016-09-13 |
| 1003369554 | Skim Dds Inc | Clinic/Center | 4635 E Avenue S, Palmdale, CA 93552-4483 | 2016-08-02 |
| Street Address |
4635 E AVENUE S # C102 |
| City | PALMDALE |
| State | CA |
| Zip Code | 93552-4483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164944732 | Juana Duran Ramos | Registered Nurse | 38350 40th St E., #100, Palmdale, CA 93552 | 2017-07-14 |
| 1801318282 | Fatima Cecile Smith | Registered Nurse | 38350 40th Street East, Palmdale, CA 93552 | 2017-07-07 |
| 1326423575 | Trieu & Kang Professional Dental Corp | Dentist | 38024 47th Street, Suite H, Palmdale, CA 93552 | 2015-07-29 |
| 1043623358 | James Juan Chang | Pharmacist | 37850 47th St E, Palmdale, CA 93552 | 2014-06-04 |
| 1164718128 | Ana Victoria Gomez | Driver | 38021 Lido Dr., Palmdale, CA 93552 | 2011-06-28 |
| 1700115342 | Song Kyun Kim | Dentist | 4635 E Avenue S, Ste C102-103, Palmdale, CA 93552 | 2009-12-10 |
| 1760512180 | Kelly A Graham Flores | Marriage & Family Therapist | 36003 40th St E, Pamdale, CA 93552 | 2007-03-06 |
| 1093246100 | Sona Galstian | Dentist | 38209 47th St E Ste E, Palmdale, CA 93552 | 2017-03-21 |
| 1528580248 | Ewuraba Abban | Registered Nurse | 38350 40th St E Ste 110, Palmdale, CA 93552-3075 | 2017-07-13 |
| 1922452382 | Emel Kasgarli | Clinic/Center | 38350 40th St E Ste 100, Palmdale, CA 93552-3075 | 2016-04-21 |
| Find all providers in zip 93552 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518479757 | Rwigema Dental Corporation | Clinic/Center | 3025 E Avenue S Ste A14, Palmdale, CA 93550-2472 | 2017-10-27 |
| 1851669915 | Gilbert H. Snow Dds Inc | Clinic/Center | 868 Auto Center Dr Ste C, Palmdale, CA 93551-4691 | 2011-12-05 |
| 1366501579 | Silvia T. Borisson D.d.s., Inc | Clinic/Center | 4654 E Avenue S, Suite A, Palmdale, CA 93552-4454 | 2006-12-06 |
| 1598839102 | American Dental Center of Palmdale | Clinic/Center | 300 E. Palmdale Blvd, Palmdale, CA 93550 | 2006-11-17 |
| 1699397471 | Snow Palmdale Family Dentistry PC | Clinic/Center | 4654 E Avenue S Ste A, Palmdale, CA 93552-4454 | 2020-05-14 |
| 1003369554 | Skim Dds Inc | Clinic/Center | 4635 E Avenue S, Palmdale, CA 93552-4483 | 2016-08-02 |
| 1902233570 | Naguib Dental Corp | Clinic/Center | 3005 E Palmdale Blvd, #22, Palmdale, CA 93550-1831 | 2013-09-27 |
| 1427245091 | Jason Oh D.d.s. Inc. | Clinic/Center | 38427 20th St E, Palmdale, CA 93550-4034 | 2007-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093551 | Arshdeep Kaur Dental Corporation | Clinic/Center | 345 F St Ste 180, Chula Vista, CA 91910-2648 | 2020-11-08 |
| 1699376350 | Funto Ayanleke Dds | Clinic/Center | 1116 W Tokay St Ste A, Lodi, CA 95240-3852 | 2020-11-07 |
| 1427658541 | Anthony Ngo, Dmd Professional Corporation | Clinic/Center | 18361 Beach Blvd, Huntington Beach, CA 92648-1310 | 2020-10-28 |
| 1912507948 | Alexander Phillips Dds Inc | Clinic/Center | 120 C Ave Ste 100, Coronado, CA 92118-1992 | 2020-10-28 |
| 1912507203 | George K Nguyen Dds, PC | Clinic/Center | 2097 Compton Ave Ste 104, Corona, CA 92881-7289 | 2020-10-27 |
| 1316547524 | Ingersoll Park Marina Gp Dental Corporation | Clinic/Center | 2301 Park Marina Dr Ste 27, Redding, CA 96001-2158 | 2020-10-27 |
| 1396344073 | Charles Kim Dental Corporation | Clinic/Center | 15651 Imperial Hwy Ste 204, La Mirada, CA 90638-1653 | 2020-10-22 |
| 1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
| 1760081129 | Anthony Pham Dental Corp | Clinic/Center | 2658 E Garvey Ave S, West Covina, CA 91791-2113 | 2020-10-17 |
| 1215535182 | Park and Park Dental Group Partnership | Clinic/Center | 473 E Alessandro Blvd Ste A, Riverside, CA 92508-6021 | 2020-10-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.