Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEAN KIM LAU, DDS
Deactivated Sole ProprietorDR. JEAN KIM LAU, DDS is a Oral & Maxillofacial Surgery (Physician) healthcare provider located in SUMMIT, New Jersey. NPI 1730563107 is deactivated in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery (Physician) · SUMMIT, NJ
This NPI has been deactivated.
The record was deactivated on August 1, 2019.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1730563107
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 16, 2015 (4.0437158469945 yrs)
- Last Updated
- Jun 11, 2025
- Deactivated
- Aug 1, 2019
- Licenses
-
060486 (NY)DS042263 (PA)22DI02794500 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
55 WOODLAND AVESUMMIT, NJ, 079012225Browse NJ providers · Browse ZIP 07901
- Phone
- 9082241701
- Primary Specialty
-
Oral & Maxillofacial Surgery (Physician)
204E00000X
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
- Additional Specialty
- Oral & Maxillofacial Surgery (Physician)
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.