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

Jong Ryul Kim

Individual provider Endodontics · NPI 1982008959

Jong Ryul Kim is an Endodontics in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania and Virginia.

Licensed in
PA, VA
In the registry since
2014
Specialties on file
2

Practice location Address checks out

3223 N Broad St
Philadelphia, PA 19140-5007
Phone: (215) 707-2900
Show map & directions

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

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence DS041524 (PA)
Endodontics Taxonomy 1223E0200X · Licence 0401414600 (VA)

Record details

NPI number1982008959
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 20, 2014
Last updated in NPPESDecember 19, 2022
Certification dateDecember 19, 2022

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