Individual provider · Type 1 NPI

Jennifer Kim

Pediatric Dentistry · Philadelphia, PA

NPI number 1689055030 Active

Practice location

240 Geiger Rd
Philadelphia, PA 19115-1008

Call (302) 632-3177 Map

Mailing address

932 N Marshall St Apt 1
Philadelphia, PA 19123-1345

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry 1223P0221X22DI02674500 (NJ)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Pediatric Dentistry Primary 1223P0221XDS041641 (PA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1689055030

Jennifer Kim's National Provider Identifier is 1689055030, issued on Jun 11, 2015. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 28, 2020.