Individual provider · Type 1 NPI

Ji Yeon Kim

General Practice Dentistry · Dallas, TX

NPI number 1316632011 Active

Practice location

3302 Gaston Ave
Dallas, TX 75246-2013

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X41513 (TX)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1316632011

Ji Yeon Kim's National Provider Identifier is 1316632011, issued on Apr 7, 2023. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Dallas, TX. The record was last updated on Jul 10, 2025.