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

Jaewoo Kim

Individual provider General Practice Dentistry · NPI 1528804689

Jaewoo Kim is a General Practice Dentistry in Hallam, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2024

Practice location Address checks out

450 W Market St
Hallam, PA 17406-1024
Phone: (231) 942-2827
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DS044670 (PA)

Record details

NPI number1528804689
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 8, 2024
Last updated in NPPESJuly 8, 2024
Certification dateJuly 8, 2024