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

Grace Jiae Kim

Individual provider Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1093207235

Grace Jiae Kim is an Orthodontics and Dentofacial Orthopedics Dentistry in Fort Lee, New Jersey. Works from 2 locations. Licensed in New Jersey, New York and Texas.

Licensed in
NJ, NY, TX
In the registry since
2018
Specialties on file
3

Practice location Address checks out

1315 Anderson Ave
Fort Lee, NJ 07024-1769
Phone: (201) 886-8400
Show map & directions

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

Additional practice locations (1)

  • 437 W 125th St, New York, NY 10027-4201 — (718) 466-4500

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 22DI02719500 (NJ)
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X · Licence 32361 (TX)
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X · Licence 059690 (NY)

Record details

NPI number1093207235
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 4, 2018
Last updated in NPPESNovember 29, 2022
Certification dateNovember 29, 2022
Mailing address1315 Anderson Ave, Fort Lee, NJ 07024-1769

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