Individual provider · Type 1 NPI

Ji Eun Kim

Dentist · Seattle, WA

NPI number 1114871738 Active

Practice location

1959 NE Pacific St # B-338
Seattle, WA 98195-7446

Mailing address

3974 Pennsylvania Ave Unit 102
La Crescenta, CA 91214-3794

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X112085 (CA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1114871738

Ji Eun Kim's National Provider Identifier is 1114871738, issued on Feb 21, 2026. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Seattle, WA. The record was last updated on Feb 21, 2026.