Individual provider · Type 1 NPI

Jaewon Kim

Periodontics · Oklahoma City, OK

NPI number 1558032995 Active

Practice location

1201 N Stonewall Ave # 524D
Oklahoma City, OK 73117-1214

Call (405) 271-7020 Map

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XF-021 (OK)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1558032995

Jaewon Kim's National Provider Identifier is 1558032995, issued on Sep 24, 2021. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Oklahoma City, OK. The record was last updated on Sep 24, 2021.