person
Dr. Jennifer Kim
Pediatric Dentist in Philadelphia, Pennsylvania
NPI 1689055030

Jennifer Kim is a Pediatric Dentist based in Philadelphia, PA and is specialized in Pediatric Dentistry. Jennifer Kim practices in Philadelphia, PA. The NPI Number for Jennifer Kim is 1689055030 and holds a License No. 22DI02674500 (Pennsylvania).

The current practice location address for Jennifer Kim is 240 Geiger Rd, Philadelphia, PA and can be reached out via phone at 302-632-3177.

Location: 240 Geiger Rd, Philadelphia, PA, 19123-1345
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Provider Profile Details
NPI Number
1689055030
Provider Name
Jennifer Kim
Credential
Provider Entity Type
Individual
Gender
Female
Address
240 Geiger Rd, Philadelphia, PA, 19123-1345
Phone Number
302-632-3177
Fax Number
Provider Enumeration Date
06/11/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
240 Geiger Rd
City
State
Zip
19115-1008
Phone Number
302-632-3177
Fax Number
person
Provider Business Mailing Address Details
Address
240 Geiger Rd
City
State
Zip
19115-1008
Phone Number
302-632-3177
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
()
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
22DI02674500 (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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