Individual provider · Type 1 NPI

Jerry Chongmin Kim, DDS

General Practice Dentistry · Fairfax, VA

NPI number 1750459988 Active

Practice location

8622 Lee Hwy Ste A
Fairfax, VA 22031-2148

Mailing address

10243 Brittenford Dr
Vienna, VA 22182-1867

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X0401007221 (VA)

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 1750459988

Jerry Chongmin Kim, DDS's National Provider Identifier is 1750459988, issued on Dec 4, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fairfax, VA. The record was last updated on Jul 8, 2007.