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Jason Minje Kim, DDS
General Practice Dentistry in West Milwaukee, Wisconsin
NPI 1407547151

Jason Minje Kim is a General Practice Dentistry based in Milwaukee, WI and is specialized in General Practice. Jason Minje Kim practices in West Milwaukee, WI and has the professional credentials of DDS. The NPI Number for Jason Minje Kim is 1407547151 and holds a License No. (Wisconsin).

The current practice location address for Jason Minje Kim is 2100 Miller Park Way, West Milwaukee, WI and can be reached out via phone at 317-965-9259.

Location: 2100 Miller Park Way, West Milwaukee, WI, 53203-2605
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407547151
Provider Name
Jason Minje Kim
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
2100 Miller Park Way, West Milwaukee, WI, 53203-2605
Phone Number
317-965-9259
Fax Number
Provider Enumeration Date
05/15/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2100 Miller Park Way
City
West Milwaukee
State
Wisconsin
Zip
53219-1641
Phone Number
317-965-9259
Fax Number
person
Provider Business Mailing Address Details
Address
2100 Miller Park Way
City
West Milwaukee
State
Wisconsin
Zip
53219-1641
Phone Number
317-965-9259
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
6001179-15 (Wisconsin)
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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