Active NPIIndividual providerSole proprietor

Jennifer S Kim, DMD

Dentist, General Practice in Allendale, New Jersey

NPI Number1780207993
Practice location
42 W Allendale Ave, Allendale, NJ 07401-1739
Fax
—
Last updated
June 28, 2022

Jennifer Suji Kim is a Dentist, General Practice based in Allendale, NJ. Jennifer Suji Kim practices in Allendale, NJ and has the professional credentials of DMD. The NPI Number for Jennifer Suji Kim is 1780207993 and holds a License No. 22DI02835700 (NJ). The current practice location address for Jennifer Suji Kim is 42 W Allendale Ave, Allendale, NJ 07401-1739 and can be reached out via phone at 201-760-1116.

Provider Profile Details

NPI Number
1780207993
Provider Name
Jennifer Suji Kim
Credential
DMD
Provider Entity Type
Individual
Gender
Female
Address
42 W Allendale Ave, Allendale, NJ 07401-1739
Phone Number
201-760-1116
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
May 21, 2020
Last Update Date
June 28, 2022
Certification Date
June 28, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
42 W Allendale Ave
Allendale, NJ 07401-1739
Zip
07401-1739
Phone Number
201-760-1116
Allendale, NJ 07401Get directions →

Provider Business Mailing Address Details

Address
770 Anderson Ave Apt 7A
Cliffside Park, NJ 07010-2163
City
Cliffside Park
State
NJ
Zip
07010-2163

License Information

License Number
22DI02835700
License State
NJ
Taxonomy
Dentist, General Practice · 1223G0001X · 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 Jennifer S Kim, DMD?

The NPI number of Jennifer S Kim, DMD is 1780207993. It was assigned on May 21, 2020 and is currently active in the NPPES registry.

What is the specialty of Jennifer S Kim, DMD?

Jennifer S Kim, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02835700.

Where does Jennifer S Kim, DMD practice?

The practice location is 42 W Allendale Ave, Allendale, NJ 07401-1739. The office can be reached at 201-760-1116 (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 1780207993 directly on the NPPES registry website.

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