Individual provider · Type 1 NPI

Grace Jiae Kim

Orthodontics and Dentofacial Orthopedics Dentistry · Fort Lee, NJ

NPI number 1093207235 Active

Practice location

1315 Anderson Ave
Fort Lee, NJ 07024-1769

Call (201) 886-8400 Map

Other practice locations

  • 437 W 125th St, New York, NY 10027-4201 · (718) 466-4500

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X32361 (TX)
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X059690 (NY)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X22DI02719500 (NJ)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1093207235

Grace Jiae Kim's National Provider Identifier is 1093207235, issued on Jun 4, 2018. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Fort Lee, NJ. The record was last updated on Nov 29, 2022.