Dr Jae Kim, DDS in Bridgeport, CT - Dentist

Dr Jae Kim, DDS is a Dentist - Orthodontics And Dentofacial Orthopedics based in Bridgeport, Connecticut. Dr Jae Kim is licensed to practice in Connecticut (license number 12130) and his current practice location is 144 Boston Ave, Bridgeport, Connecticut. He can be reached at his office (for appointments etc.) via phone at (203) 437-7561.

NPI number for Dr Jae Kim is 1548632607 and his current mailing address is 1955 Lake Ave, Altadena, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548632607.

Contact Information

	Dr Jae Kim, DDS
	144 Boston Ave, Bridgeport, CT 06610-1604
	(203) 437-7561
	Not Available

Healthcare Provider's Profile

Full Name	Dr Jae Kim
Gender	Male
Speciality	Dentist - Orthodontics And Dentofacial Orthopedics
Location	144 Boston Ave, Bridgeport, Connecticut
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1548632607
Provider Enumeration Date: 10/28/2015
Last Update Date: 03/17/2018

Medical Identifiers

Medical identifiers for Dr Jae Kim such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548632607	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	65151 (California)	Secondary
1223X0400X	Dentist - Orthodontics And Dentofacial Orthopedics	65151 (California)	Secondary
1223X0400X	Dentist - Orthodontics And Dentofacial Orthopedics	12130 (Connecticut)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jae Kim is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Jae Kim, DDS 1955 Lake Ave, Altadena, CA 91001-3037 Ph: () -	Dr Jae Kim, DDS 144 Boston Ave, Bridgeport, CT 06610-1604 Ph: (203) 437-7561

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Dentist in Bridgeport, CT

Giuliana Novoa-ordonez, DDS Dentist Medicare: Medicare Enrolled Practice Location: 982 E Main St, Bridgeport, CT 06608 Phone: 203-696-3270 Fax: 203-334-8104
Frank J Romano, DMD Dentist Medicare: Medicare Enrolled Practice Location: 2240 Madison Ave, Bridgeport, CT 06606 Phone: 203-327-0881
Dr. Francis Vincent Tiberi, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3015 Main St, Bridgeport, CT 06606 Phone: 203-365-0015 Fax: 203-365-0020
Dr. Michael Salpeter, DMD Dentist Medicare: Medicare Enrolled Practice Location: 633 Clinton Ave, Bridgeport Dental Llc, Bridgeport, CT 06605 Phone: 203-384-2261
Dr. Payal Jain, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2660 Main St, # 217, Bridgeport, CT 06606 Phone: 203-219-0285
Leonard Lipton, DDS Dentist Medicare: Medicare Enrolled Practice Location: 982 E Main St, Bridgeport, CT 06608 Phone: 203-696-3260 Fax: 203-332-0376
Weruche Chinyere Okonkwo, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 468 Clinton Ave, Bridgeport, CT 06605 Phone: 203-337-6266 Fax: 203-337-6261

Dr Jae Kim, DDS - Dentist in Bridgeport, CT