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

Jae DO Kim, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1437501566

Jae DO Kim, DDS is a Student in an Organized Health Care Education/Training Program in Fort Bragg, California. Practices as a sole proprietor and works from 2 locations. Licensed in California and New York.

Licensed in
CA, NY
In the registry since
2016
Specialties on file
2
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.

See every abbreviation used in this directory →

Practice location Address checks out

205 S St
Fort Bragg, CA 95437-5540
Phone: (707) 961-4088
Show map & directions

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

Additional practice locations (1)

  • 1 Brookdale Plz, Brooklyn, NY 11212-3139 — (718) 240-6552

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 102969 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (NY)

Record details

NPI number1437501566
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 13, 2016
Last updated in NPPESMarch 7, 2023
Mailing address5120 Nw 17th St, Oklahoma City, OK 73127-2858

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