Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JAEWOO KIM
Active Sole ProprietorJAEWOO KIM is a General Dentistry healthcare provider located in HALLAM, Pennsylvania. NPI 1528804689 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · HALLAM, PA
Registration Details
- NPI Number
- 1528804689
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 8, 2024 (1.9197736525239 yrs)
- Last Updated
- Jul 8, 2024
- License
-
DS044670 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
450 W MARKET STHALLAM, PA, 174061024Browse PA providers · Browse ZIP 17406
- Phone
- 2319422827
- Primary Specialty
-
General Dentistry
1223G0001X
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.