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

Dr. Jennifer Kim

Individual provider Pediatric Dentistry · NPI 1689055030

Dr. Jennifer Kim is a Pediatric Dentistry in Philadelphia, Pennsylvania. Practices as a sole proprietor. Licensed in New Jersey and Pennsylvania.

Licensed in
NJ, PA
In the registry since
2015
Specialties on file
3

Practice location Address checks out

240 Geiger Rd
Philadelphia, PA 19115-1008
Phone: (302) 632-3177
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence DS041641 (PA)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 22DI02674500 (NJ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1689055030
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 11, 2015
Last updated in NPPESAugust 28, 2020
Certification dateAugust 28, 2020

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