Individual provider · Type 1 NPI

Jason Minje Kim, DDS

General Practice Dentistry · West Milwaukee, WI

NPI number 1407547151 Active

Practice location

2100 Miller Park Way
West Milwaukee, WI 53219-1641

Mailing address

161 W Wisconsin Ave Apt 214
Milwaukee, WI 53203-2605

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
General Practice Dentistry Primary 1223G0001X6001179-15 (WI)

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 1407547151

Jason Minje Kim, DDS's National Provider Identifier is 1407547151, issued on May 15, 2023. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in West Milwaukee, WI. The record was last updated on Jul 25, 2023.