DR. JEAN KIM (NPI# 1730563107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730563107 |
| Entity Type | Individual |
| Full Name | DR. JEAN KIM |
| Credential | DDS |
| Practice Address |
2571 Baglyos Cir Ste B23 Bethlehem PA 18020-8051 |
| Practice Telephone | 4848211357 |
| Mailing Telephone | 4848211357 |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2019-09-24 |
| NPI Deactivation Date | 08/01/2019 |
| NPI Reactivation Date | 2019-09-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
DS042263 | PA | Dental Providers |
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
060486 | NY | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 W 15th St # 1a, New York, NY 100116658 | 2122010766 | |
| 2100 Bartow Ave Ste 218b, Bronx, NY 104754614 | 7187088144 | |
| 2403 Grand Concourse, Bronx, NY 104686820 | 3475909910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801342100 | Jean Kim | Dentist | Deon Square, 532 S Oxford Valley Rd, Fairless Hills, PA 19030 | 2016-08-28 |
| 1780691170 | Jean H Kim | Internal Medicine | 7905 Calument Ave, Munster, IN 46321-2549 | 2006-08-01 |
| 1629097290 | Jean Hojin Kim | Optometrist | 9618 Garden Grove Blvd, Suite 109, Garden Grove, CA 92844-1563 | 2006-07-18 |
| 1659333466 | Jean Kim | Psychiatry & Neurology | 10903 New Hampshire Ave, Food and Drug Administration (fda), Silver Spring, MD 20903-1058 | 2006-04-05 |
| 1245897313 | Jean Kim | Internal Medicine | 1356 Lusitana St Fl 7, Honolulu, HI 96813-2409 | 2019-05-23 |
| 1518491968 | Jean Kim | Hospitalist | 1 Gustave L Levy Pl, New York, NY 10029-6504 | 2017-04-12 |
| 1205214194 | Jean Kim | Psychologist | 1660 S. Columbian Way, S-116-mhc, Seattle, WA 98108-1597 | 2015-05-11 |
| 1285980367 | Jean Hee Kim | Dentist | 1905 S Marshall St, Boone, IA 50036-5401 | 2012-07-26 |
| 1356528871 | Jean Y Kim | Registered Nurse | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2008-01-28 |
| 1316145659 | Jean Young-yum Kim | Dentist | 401 Gregory Ln, Pleasant Hill, CA 94523-2800 | 2007-07-09 |
| Street Address |
2571 BAGLYOS CIR STE B23 |
| City | BETHLEHEM |
| State | PA |
| Zip Code | 18020-8051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104398510 | Advanced Oral Surgery and Implant Center | Oral & Maxillofacial Surgery | 2571 Baglyos Cir Ste B23, Bethlehem, PA 18020-8051 | 2018-12-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700315504 | Bgp LLC | Non-emergency Medical Transport (VAN) | 4329 Rexford Drive, Bethlehem, PA 18020 | 2017-06-06 |
| 1194252882 | Jeffrey Timlin | Legal Medicine | 3382 East Boulevard, Bethlehem, PA 18020 | 2017-05-12 |
| 1104350206 | Jamie Green | Speech-Language Pathologist | 185 Butztown Road, Bethlehem, PA 18020 | 2017-04-14 |
| 1396102075 | Kati Holmes | Specialist/Technologist | 2030 Highland Ave., Coordinated Heatlh, Bethlehem, PA 18020 | 2016-01-26 |
| 1093056590 | Ching-ho Lin | Obstetrics & Gynecology | 3550 Manor Rd., Bethlehem, PA 18020 | 2013-03-07 |
| 1922338490 | Merakey Pennsylvania | Community/Behavioral Health | 1430 Coleman Streeet, Bethlehem, PA 18020 | 2010-01-06 |
| 1861720575 | Kellyn Foundation | Voluntary or Charitable | 2820 Emrick Boulevard, Bethlehem, PA 18020 | 2009-11-19 |
| 1639358542 | Ronald R Strisofsky Jr. | Dentist | 3835 Green Pond Rd, Northampton Community College, Bethlehem, PA 18020 | 2007-10-26 |
| 1760677827 | Charles Sidney Moore Jr. | Nurse Anesthetist, Certified Registered | 2851 Baglyos Cir Ste 100, Bethlehem, PA 18020 | 2007-09-12 |
| 1265635494 | Tonya Mineo | Speech-Language Pathologist | 3819 Timothy Ln, Bethlehem, PA 18020 | 2007-06-06 |
| Find all providers in zip 18020 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952600595 | James M. Lee | Dentist | 366 Munger Lane, Bethlehem, CT 06751-1100 | 2011-03-22 |
| 1801009360 | Brett M. Geller | Dentist | 1521 8th Avenue, First Floor, Bethlehem, PA 18018 | 2007-05-08 |
| 1033158910 | Center for Oral and Maxillofacial Surgery and Implantology At St. Luke | Dentist | 1521 8th Ave, Suite 100, Bethlehem, PA 18018-1865 | 2006-06-06 |
| 1154314219 | Michael A Renaldo | Dentist | 1521 8th Ave Ste 101, Bethlehem, PA 18018-1893 | 2005-08-24 |
| 1831471028 | Assabi A Isaac | Dentist | 1521 8th Ave, Bethlehem, PA 18018-1893 | 2011-09-13 |
| 1689905085 | Karl D. Maloney | Dentist | 1521 8th Ave, 1st Floor, Bethlehem, PA 18018-1893 | 2010-01-25 |
| 1669684197 | R.t. Kingston, Jr.d.d.s. P.C. | Dentist | 2414 Schoenersville Rd, Bethlehem, PA 18017-3676 | 2007-05-04 |
| 1255374237 | Daniel S. Lader | Dentist | 1521 8th Ave, Suite 100, Bethlehem, PA 18018-1865 | 2006-06-14 |
| 1790728814 | Dominic P. Rachiele | Dentist | 1521 8th Ave, Suite 100, Bethlehem, PA 18018-1865 | 2006-06-14 |
| 1588603476 | Wayne J Saunders | Dentist | 1521 8th Ave, 1st Floor, Bethlehem, PA 18018-1893 | 2006-06-06 |
| Find all providers in BETHLEHEM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.