Kim, Jae

Kim, Jae is an individual health care provider with primary practice located at 144 Boston Ave , Bridgeport CT 06610-1604. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Kim, Jae can be contacted via phone (203) 437-7561.

Contact Information

Primary practice address
144 Boston Ave Bridgeport CT 06610-1604
Phone: (203) 437-7561
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 65151 California
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 65151 California
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 12130 Connecticut

Profile Details

NPI number 1548632607
LBN Legal business name Kim, Jae
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2015
Last updated Mar 17th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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