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

Dr. Jae Kyong Kim, DDS

Individual provider Dentist · NPI 1457032476

Dr. Jae Kyong Kim, DDS is a Dentist in Longview, Texas. Licensed in Texas. Registered with an NPI since 2023.

Licensed in
TX
In the registry since
2023
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

3080 N Eastman Rd Ste 104
Longview, TX 75605-7978
Phone: (903) 686-0086
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 39882 (TX)

Record details

NPI number1457032476
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 31, 2023
Last updated in NPPESAugust 1, 2023
Certification dateAugust 1, 2023
Mailing address9672 Minton Dr, Fort Worth, TX 76108-3887

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