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Dr. Jaeyoung Kim
General Practice Dentistry in New Hartford, New York
NPI 1639735723

Jaeyoung Kim is a General Practice Dentistry based in New Hartford, NY and is specialized in General Practice. Jaeyoung Kim practices in New Hartford, NY. The NPI Number for Jaeyoung Kim is 1639735723 and holds a License No. 22DI02786700 (New York).

The current practice location address for Jaeyoung Kim is 4754 Commercial Dr Ste 2, New Hartford, NY and can be reached out via phone at 646-522-5339.

Location: 4754 Commercial Dr Ste 2, New Hartford, NY, 13413-6205
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639735723
Provider Name
Jaeyoung Kim
Credential
Provider Entity Type
Individual
Gender
Male
Address
4754 Commercial Dr Ste 2, New Hartford, NY, 13413-6205
Phone Number
646-522-5339
Fax Number
Provider Enumeration Date
05/14/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4754 Commercial Dr Ste 2
City
New Hartford
State
New York
Zip
13413-6205
Phone Number
646-522-5339
Fax Number
person
Provider Business Mailing Address Details
Address
4754 Commercial Dr Ste 2
City
New Hartford
State
New York
Zip
13413-6205
Phone Number
646-522-5339
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
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.
22DI02786700 (New Jersey)
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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