Active NPIIndividual provider

Dr. Jae Young Kim, DDS

Dentist in Auburndale, Massachusetts

NPI Number1033543525
Practice location
1942 Washington St, #219, Auburndale, MA 02466-3042
Fax
—
Last updated
September 3, 2013

Jae Young Kim is a Dentist based in Auburndale, MA. Jae Young Kim practices in Auburndale, MA and has the professional credentials of DDS. The NPI Number for Jae Young Kim is 1033543525 and holds a License No. DL12040 (MA). The current practice location address for Jae Young Kim is 1942 Washington St, #219, Auburndale, MA 02466-3042 and can be reached out via phone at 781-366-4192.

Provider Profile Details

NPI Number
1033543525
Provider Name
Jae Young Kim
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
1942 Washington St, #219, Auburndale, MA 02466-3042
Phone Number
781-366-4192
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
September 3, 2013
Last Update Date
September 3, 2013
NPI Status
Active

Provider Business Practice Location Address Details

Address
1942 Washington St
#219
Auburndale, MA 02466-3042
Zip
02466-3042
Phone Number
781-366-4192
Auburndale, MA 02466Get directions →

Provider Business Mailing Address Details

Address
1942 Washington St
#219
Auburndale, MA 02466-3042
City
Auburndale
State
MA
Zip
02466-3042
Phone Number
718-366-4192

License Information

License Number
DL12040
License State
MA
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Jae Young Kim, DDS?

The NPI number of Dr. Jae Young Kim, DDS is 1033543525. It was assigned on September 3, 2013 and is currently active in the NPPES registry.

What is the specialty of Dr. Jae Young Kim, DDS?

Dr. Jae Young Kim, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in MA under license number DL12040.

Where does Dr. Jae Young Kim, DDS practice?

The practice location is 1942 Washington St, #219, Auburndale, MA 02466-3042. The office can be reached at 781-366-4192 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033543525 directly on the NPPES registry website.

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