OrganizationActive
Creative Smiles Dental
NPI 1083963995 · Dentist · Fontana, CA
Creative Smiles Dental is a Dentist organization in Fontana, CA (NPI 1083963995).
Provider details
- NPI number
- 1083963995
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Yang Kim, Owner(909) 822-4363
- License
- 48481 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
17736 San Bernardino Ave
Fontana, CA 92335-6133
Phone: (909) 822-4363
Street-level locationGet directions
Mailing address
17736 San Bernardino Ave
Fontana, CA 92335-6133
Registry dates
- Enumerated
- 2012-09-06
- Last updated
- 2014-12-17
Frequently asked questions
- What is Creative Smiles Dental's NPI number?
- Creative Smiles Dental's National Provider Identifier (NPI) is 1083963995, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Creative Smiles Dental?
- Creative Smiles Dental is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Creative Smiles Dental located?
- Creative Smiles Dental's practice location on file with NPPES is 17736 San Bernardino Ave, Fontana, CA 92335-6133.
- What is Creative Smiles Dental's phone number?
- The practice phone number listed in the NPPES registry for Creative Smiles Dental is (909) 822-4363.
- Who is the authorized official for Creative Smiles Dental?
- The authorized official listed on Creative Smiles Dental's NPPES record is Yang Kim, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Creative Smiles Dental's NPI active?
- Yes — Creative Smiles Dental's NPI (1083963995) is active in the NPPES registry as of the last update on 2014-12-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.