Dr Ted Tae Yul Im, DDS - Dentist in Moreno Valley, CA

Dr Ted Tae Yul Im, DDS is a Dentist based in Moreno Valley, California. Dr Ted Tae Yul Im is licensed to practice in California (license number 40950) and his current practice location is 23205 Sunnymead Blvd, Moreno Valley, California. He can be reached at his office (for appointments etc.) via phone at (951) 242-6242.

NPI number for Dr Ted Tae Yul Im is 1114083193 and his current mailing address is 23205 Sunnymead Blvd, Moreno Valley, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114083193.

Contact Information

Dr Ted Tae Yul Im, DDS
23205 Sunnymead Blvd,
Moreno Valley, CA 92553-5246
(951) 242-6242
(951) 242-4782



Healthcare Provider's Profile

Full NameDr Ted Tae Yul Im
GenderMale
SpecialityDentist
Location23205 Sunnymead Blvd, Moreno Valley, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1114083193
  • Provider Enumeration Date: 12/28/2006
  • Last Update Date: 09/19/2016

Medical Identifiers

Medical identifiers for Dr Ted Tae Yul Im such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114083193NPI-NPPES
D40950MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 40950 (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 Ted Tae Yul Im 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 Ted Tae Yul Im, DDS
23205 Sunnymead Blvd,
Moreno Valley, CA 92553-5246

Ph: (951) 242-6242
Dr Ted Tae Yul Im, DDS
23205 Sunnymead Blvd,
Moreno Valley, CA 92553-5246

Ph: (951) 242-6242

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Dentist in Moreno Valley, CA

Ha Eun Kim, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 12625 Frederick St Ste F4, Moreno Valley, CA 92553
Phone: 951-697-7750    
Mustafa Raad Muhildeen Helmi, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 23185 Hemlock Ave, Moreno Valley, CA 92557
Phone: 951-571-8369    
Robert Thomas Silvola, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 12810 Heacock St, Ste B103, Moreno Valley, CA 92553
Phone: 951-242-3441    Fax: 951-242-9544
Dr. Mervin Lee Ellstrom, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 12900 Perris Blvd, Suite 101, Moreno Valley, CA 92553
Phone: 951-242-3431    Fax: 951-242-7570
Prof. Katyuska Paredes Lopez, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 23318 Olive Wood Plaza Dr Ste C, Moreno Valley, CA 92553
Phone: 951-242-5585    Fax: 951-242-5587
Dr. Alison Christene Austin, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 12721 Moreno Beach Dr, Moreno Valley, CA 92555
Phone: 909-843-9171    
Dr. Adwen P Yap, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 11481 Heacock St, Suite 160, Moreno Valley, CA 92557
Phone: 951-242-5470    Fax: 951-242-5470

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