Dr Peter Keewahn Kim, DDS - Dentist in San Jacinto, CA

Dr Peter Keewahn Kim, DDS is a Dentist based in San Jacinto, California. Dr Peter Keewahn Kim is licensed to practice in California (license number 105646) and his current practice location is 1643 S San Jacinto Ave Ste 100&101, San Jacinto, California. He can be reached at his office (for appointments etc.) via phone at (951) 654-7744.

NPI number for Dr Peter Keewahn Kim is 1417554411 and his current mailing address is 1643 S San Jacinto Ave Ste 100&101, San Jacinto, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417554411.

Contact Information

Dr Peter Keewahn Kim, DDS
1643 S San Jacinto Ave Ste 100&101,
San Jacinto, CA 92583-5181
(951) 654-7744
Not Available



Healthcare Provider's Profile

Full NameDr Peter Keewahn Kim
GenderMale
SpecialityDentist
Location1643 S San Jacinto Ave Ste 100&101, San Jacinto, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1417554411
  • Provider Enumeration Date: 10/03/2020
  • Last Update Date: 10/03/2020

Medical Identifiers

Medical identifiers for Dr Peter Keewahn Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417554411NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 105646 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Peter Keewahn Kim is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Peter Keewahn Kim, DDS
1643 S San Jacinto Ave Ste 100&101,
San Jacinto, CA 92583-5181

Ph: (951) 654-7744
Dr Peter Keewahn Kim, DDS
1643 S San Jacinto Ave Ste 100&101,
San Jacinto, CA 92583-5181

Ph: (951) 654-7744

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› Verified 3 days ago


Dentist in San Jacinto, CA

Dr. Craig Michael Smith, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 182 S Ramona Blvd, San Jacinto, CA 92583
Phone: 951-654-7393    Fax: 951-654-1352
Dr. Robert Lee Horne, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 19625 Gilman Springs Rd, San Jacinto, CA 92583
Phone: 951-654-5347    Fax: 951-487-7221
Jessica Kwon,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1643 S San Jacinto Ave Ste A, San Jacinto, CA 92583
Phone: 951-654-7744    
Dr. Bruce Michael Peterson, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 607 Donna Way, San Jacinto, CA 92583
Phone: 951-654-0803    
Dr. Jose Luis Villa Jr., DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2191 W Esplanade Ave Ste 106g, San Jacinto, CA 92582
Phone: 951-654-0080    
Justin Namm, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1821 S San Jacinto Ave # Studiod, San Jacinto, CA 92583
Phone: 951-654-7744    
Dr. Erika L Belle, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1643 S San Jacinto Ave Ste 100&101, San Jacinto, CA 92583
Phone: 909-380-7701    

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