Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kim Jon Dipasquale, DDSMS

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1104962224

Dr. Kim Jon Dipasquale, DDSMS is an Oral and Maxillofacial Surgery (Dentist) in Anaheim Hills, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

500 So Anaheim Hills Rd Ste 222
Anaheim Hills, CA 92807 Not confirmed with CMS for 19 years — call before visiting
Phone: (714) 974-5906
Fax: (714) 974-5982
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence D29722 (CA)

Record details

NPI number1104962224
Entity typeIndividual (Type 1)
GenderMale
Credentials DDSMS
Sole proprietorYes
NPI enumeratedJanuary 29, 2007
Last updated in NPPESJuly 8, 2007