Doctor profile · Federal record
Dr. Spencer Kim
Pediatric Dentist · Student in an Organized Health Care Education/Training Program · Manteca, CA
- NPI 1184155400
- 9 yrs on file
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
2288 Daniels St
Manteca, CA 953376706
(209) 456-5610 - Additional location
-
642 Ulukahiki St Ste 308
Kailua, HI 967344439
(808) 261-5354
Credentials & registration
- NPI registered
- March 2017 — 9 yrs on file
- Profile last updated
- July 16, 2025
- Specialty taxonomy
- 1223P0221X — NUCC code
- State license (1)
- California #DDS111451
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1184155400. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$24
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Envista Holdings Corporation | 1 | $24.20 |
By nature of payment
Frequently asked questions
What is Dr. Spencer Kim's medical specialty?
Dr. Spencer Kim practices Pediatric Dentist in Manteca, CA.
Where does Dr. Spencer Kim practice?
Dr. Spencer Kim practices at 2288 Daniels St, Manteca, CA 953376706. Office phone: 2094565610.
What is Dr. Spencer Kim's NPI?
Dr. Spencer Kim's National Provider Identifier (NPI) is 1184155400, issued by NPPES.