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

Dr. Jaewon Kim

Individual provider Periodontics · NPI 1558032995

Dr. Jaewon Kim is a Periodontics in Oklahoma City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2021.

Licensed in
OK
In the registry since
2021

Practice location Address checks out

1201 N Stonewall Ave # 524D
Oklahoma City, OK 73117-1214
Phone: (405) 271-7020
Show map & directions

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

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence F-021 (OK)

Record details

NPI number1558032995
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 24, 2021
Last updated in NPPESSeptember 24, 2021
Certification dateSeptember 24, 2021
Mailing address1201 N Stonewall Ave # 524d, Oklahoma City, OK 73117-1214

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