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Creative Smiles Dental

NPI 1083963995ActiveOrganization· Dentist· Fontana, CA

Dentist in Fontana, California, registered in NPPES in September 2012. The authorized official on file is Yang H. Kim, D.D.S., Owner.

Overview

NPI1083963995
StatusActive
Entity typeOrganization
NPI issuedSep 6, 2012
Last updated in NPPESDec 17, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Dentist Primary122300000X48481CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other dentists in Fontana

All 71 dentists in Fontana · All dentists in California