Dr. Jae Kim is a Bridgeport, Connecticut based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Jae Kim is 12130 for Orthodontics and Dentofacial Orthopedics in Connecticut. His current practice location is 144 Boston Ave, Bridgeport. Patients can reach him at 203-437-7561.
Dr. Jae Kim is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Jae Kim speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Jae Kim
Specialization:
Dentist
Gender:
Male
Credentials:
D.D.S
Accepts Medicare Assignment:
No
Practice Address:
144 Boston Ave, Bridgeport, Connecticut, 06610-1604
Phone:
203-437-7561
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details are as mentioned below.
NPI Number:
1548632607
NPI Enumeration Date:
28 Oct, 2015
NPI Last Update On:
17 Mar, 2018
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jae Kim are as mentioned below.
License Number
Specialization
State
Status
12130
Orthodontics and Dentofacial Orthopedics
Connecticut
Primary
65151
General Practice Dentistry
California
Secondary
65151
Orthodontics and Dentofacial Orthopedics
California
Secondary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1955 Lake Ave, Altadena, California
Zip:
91001-3037
Patients can reach Dr. Jae Kim at 144 Boston Ave, Bridgeport, Connecticut or can call to book an appointment on 203-437-7561. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.