Jae Do Kim is a Fort Bragg, California based Dentist who is specialized in
Dentist. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Jae Do Kim is
102969 for General Practice Dentistry in California. His current practice location is
205 South St, Fort Bragg. Patients can reach him at
707-961-4088.
Jae Do 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:
Jae Do 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: | Jae Do Kim |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | D.D.S. |
| Accepts Medicare Assignment: | No |
| Practice Address: | 205 South St, Fort Bragg, California, 95437-5540 |
| Phone: | 707-961-4088 |
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: | 1437501566 |
| NPI Enumeration Date: | 13 Jul, 2016 |
| NPI Last Update On: | 07 Mar, 2023 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jae Do Kim are as mentioned below.
| License Number | Specialization | State | Status | |
| 102969 | General Practice Dentistry | California | Primary | |
| Student in an Organized Health Care Education/Training Program | New York | Secondary | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 5120 Nw 17th St, Oklahoma City, Oklahoma |
| Zip: | 73127-2858 |
| Phone Number: | 678-717-9568 |
Patients can reach Jae Do Kim at
205 South St, Fort Bragg, California or can
call to book an appointment on 707-961-4088.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.