Mount Dora Dental & Dentures
NPI 1033372958ActiveOrganization· Dentist· Mount Dora, FL
Dentist in Mount Dora, Florida, registered in NPPES in July 2008, part of Mount Dora Dental & Dentures. The authorized official on file is Sook Ja Kim, D.M.D, Owner.
Overview
| NPI | 1033372958 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Mount Dora Dental & Dentures |
| NPI issued | Jul 10, 2008 |
| Last updated in NPPES | Feb 22, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | 14970 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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