DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GRACE JIAE KIM

Active

GRACE JIAE KIM is a Orthodontics healthcare provider located in FORT LEE, New Jersey. NPI 1093207235 is currently active in the NPPES registry. Verify at CMS.

Orthodontics · FORT LEE, NJ

Registration Details

NPI Number
1093207235
Provider Type
Individual
Gender
Female
NPI Issued
Jun 4, 2018 (8.1696858109489 yrs)
Last Updated
Nov 29, 2022
Licenses
32361 (TX)
059690 (NY)
22DI02719500 (NJ)

Practice Information

Address
1315 ANDERSON AVE
FORT LEE, NJ, 070241769
Browse NJ providers · Browse ZIP 07024
Phone
2018868400
Primary Specialty
Orthodontics
1223X0400X
Additional Specialty
Orthodontics
Additional Specialty
Orthodontics

Other Orthodontics Providers in FORT LEE, NJ

Name Credential NPI
DR. MARGARET CHU PARK D.M.D. 1740376987
DR. JON ETHAN GOLUB DMD 1285722769
DR. JUHYUN LEE DMD 1447301148
JONATHANE SOO JEON D.D.S. 1609048701
DR. JESSICA M CHUNG-LEVY DDS 1033383385
DR. JAMES SUH D.D.S 1457705550
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.