IndividualActive
Jeff Kim, DDS
NPI 1245343961 · General Practice Dentistry · Manteca, CA
Jeff Kim, DDS is a General Practice Dentistry provider in Manteca, CA (NPI 1245343961).
Provider details
- NPI number
- 1245343961
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 40636 (CA)
Practice location
1150 W Center St
Suite #103
Manteca, CA 95337-4313
Phone: (209) 823-1705
Fax: (209) 823-0350
Street-level locationGet directions
Mailing address
1150 W Center St
Manteca, CA 95337-4313
Registry dates
- Enumerated
- 2006-08-16
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.