Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jae DO Kim, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1437501566

Jae DO Kim, DDS is a Student in an Organized Health Care Education/Training Program in Fort Bragg, California. Practices as a sole proprietor and works from 2 locations. Licensed in California and New York.

Licensed in
CA, NY
In the registry since
2016
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Fort Bragg, CA

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 1 Brookdale Plz, Brooklyn, NY 11212-3139 — (718) 240-6552

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 102969 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NY)

Record details

NPI number1437501566
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 13, 2016
Last updated in NPPESMarch 7, 2023

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