Individual provider · Type 1 NPI

Samantha Kim

Orthodontics and Dentofacial Orthopedics Dentistry · Kearny, NJ

NPI number 1497643969 Active

Practice location

242 Kearny Ave Ste 2
Kearny, NJ 07032-2505

Mailing address

450 Oldwoods Rd
Wyckoff, NJ 07481-1448

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X22DI03102900 (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 1497643969

Samantha Kim's National Provider Identifier is 1497643969, issued on Jun 25, 2025. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Kearny, NJ. The record was last updated on Jun 25, 2025.