Dr Teri Ly Kim, DDS - Dentist in Oakland, CA

Dr Teri Ly Kim, DDS is a Dentist - Pediatric Dentistry based in Oakland, California. Dr Teri Ly Kim is licensed to practice in California (license number 55811) and her current practice location is 747 52nd St., Oakland, California. She can be reached at her office (for appointments etc.) via phone at (510) 964-0168.

NPI number for Dr Teri Ly Kim is 1386721736 and her current mailing address is P.o. Box 22210, Oakland, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386721736.

Contact Information

Dr Teri Ly Kim, DDS
747 52nd St.,
Oakland, CA 94609
(510) 964-0168
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Teri Ly Kim
GenderFemale
SpecialityDentist - Pediatric Dentistry
Location747 52nd St., Oakland, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1386721736
  • Provider Enumeration Date: 11/01/2006
  • Last Update Date: 02/08/2012

Medical Identifiers

Medical identifiers for Dr Teri Ly Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386721736NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0221XDentist - Pediatric Dentistry 13802 (Maryland)Secondary
1223P0221XDentist - Pediatric Dentistry 55811 (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 Teri Ly 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 Teri Ly Kim, DDS
P.o. Box 22210,
Oakland, CA 94623-2210

Ph: (510) 535-4000
Dr Teri Ly Kim, DDS
747 52nd St.,
Oakland, CA 94609

Ph: (510) 964-0168

Reviews and Comments


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