Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JENNIFER KIM
Active Sole ProprietorDR. JENNIFER KIM is a Pediatric Dentistry healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1689055030 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · PHILADELPHIA, PA
Registration Details
- NPI Number
- 1689055030
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 11, 2015 (11.166873111084 yrs)
- Last Updated
- Aug 28, 2020
- Licenses
-
22DI02674500 (NJ)DS041641 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
240 GEIGER RDPHILADELPHIA, PA, 191151008Browse PA providers · Browse ZIP 19115
- Phone
- 3026323177
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Pediatric Dentistry
Other Pediatric Dentistry Providers in PHILADELPHIA, PA
| Name | Credential | NPI |
|---|---|---|
| MICHAEL ROSENBAUM | DMD | 1104810530 |
| CLINTON RUTHERFORD | DMD | 1740274174 |
| ALEGRIA DAGOSTINO | DMD | 1386638716 |
| DR. ALLISON ROSE | DMD | 1558355982 |
| SHARON K HAMILTON | DMD | 1164416525 |
| MARK GOLDSTEIN | DDS | 1144214511 |
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.