Dr. Ted Tae Yul Im is a Moreno Valley, California based Dentist who is specialized in
Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Ted Tae Yul Im is
40950 for Dentistry in California. His current practice location is
23205 Sunnymead Blvd, Moreno Valley. Patients can reach him at
951-242-6242.
Dr. Ted Tae Yul Im is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Ted Tae Yul Im speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Ted Tae Yul Im |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 23205 Sunnymead Blvd, Moreno Valley,
California, 92553-5246 |
| Phone: | 951-242-6242 |
| Fax: | 951-242-4782 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1114083193 |
| NPI Enumeration Date: | 28 Dec, 2006 |
| NPI Last Update On: | 19 Sep, 2016 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Ted Tae Yul Im are as mentioned below.
| License Number | Specialization | State | Status | |
| 40950 | Dentistry | California | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Ted Tae Yul Im such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| D40950 | Medicaid | California | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 23205 Sunnymead Blvd,
Moreno Valley, California |
| Zip: | 92553-5246 |
| Phone Number: | 951-242-6242 |
| Fax Number: | 951-242-4782 |
Patients can reach Dr. Ted Tae Yul Im at
23205 Sunnymead Blvd, Moreno Valley, California or can
call to book an appointment on 951-242-6242.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.