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

DR. JAE KIM, D.D.S

Active

DR. JAE KIM, D.D.S is a Orthodontics healthcare provider located in BRIDGEPORT, Connecticut. NPI 1548632607 is currently active in the NPPES registry. Verify at CMS.

Orthodontics · BRIDGEPORT, CT

Registration Details

NPI Number
1548632607
Provider Type
Individual
Gender
Male
NPI Issued
Oct 28, 2015 (10.760558975924 yrs)
Last Updated
Mar 17, 2018
Licenses
65151 (CA)
65151 (CA)
12130 (CT)

Practice Information

Address
144 BOSTON AVE
BRIDGEPORT, CT, 066101604
Browse CT providers · Browse ZIP 06610
Phone
2034377561
Primary Specialty
Orthodontics
1223X0400X
Additional Specialty
Orthodontics
Additional Specialty
Orthodontics

Other Orthodontics Providers in BRIDGEPORT, CT

Name Credential NPI
DR. MICHAEL B MONTANARO DDS 1184605974
DEBORAH BERGER DDS 1174740641
DR. SHYAM DESAI D.M.D 1922271550
DR. TREMANE M BARTLEY DMD 1821223272
DR. RUPALI SHAH DDS 1528357308
DR. FADI ANKAH DMD 1710501887
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.