Individual provider · Type 1 NPI

Jae Kim, D.D.S

Orthodontics and Dentofacial Orthopedics Dentistry · Bridgeport, CT

NPI number 1548632607 Active

Practice location

144 Boston Ave
Bridgeport, CT 06610-1604

Call (203) 437-7561 Map

Mailing address

1955 Lake Ave
Altadena, CA 91001-3037

Other practice locations

  • 531 Elm St, New Haven, CT 06511-4549 · (203) 901-1323

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X65151 (CA)
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X65151 (CA)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X12130 (CT)

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 1548632607

Jae Kim, D.D.S's National Provider Identifier is 1548632607, issued on Oct 28, 2015. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Bridgeport, CT. The record was last updated on Mar 17, 2018.