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Stefanel Erika Lee Kim, DMD
General Practice Dentistry in Bridgeport, Connecticut
NPI 1215510086

Stefanel Erika Lee Kim is a General Practice Dentistry based in Bridgeport, CT and is specialized in General Practice. Stefanel Erika Lee Kim practices in Bridgeport, CT and has the professional credentials of DMD. The NPI Number for Stefanel Erika Lee Kim is 1215510086 and holds a License No. (Connecticut).

The current practice location address for Stefanel Erika Lee Kim is 3741 Main St, Bridgeport, CT and can be reached out via phone at 475-282-4912.

Location: 3741 Main St, Bridgeport, CT, 06606-3609
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215510086
Provider Name
Stefanel Erika Lee Kim
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
3741 Main St, Bridgeport, CT, 06606-3609
Phone Number
475-282-4912
Fax Number
Provider Enumeration Date
04/29/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3741 Main St
City
Bridgeport
State
Connecticut
Zip
06606-3609
Phone Number
475-282-4912
Fax Number
person
Provider Business Mailing Address Details
Address
3741 Main St
City
Bridgeport
State
Connecticut
Zip
06606-3609
Phone Number
475-282-4912
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
13220 (Connecticut)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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