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

Jaewon Kim

Individual provider Periodontics · NPI 1952289555

Jaewon Kim is a Periodontics in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2025.

Licensed in
MA
In the registry since
2025

Practice location Address checks out

1 Kneeland St
Boston, MA 02111-1527
Phone: (617) 636-6531
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence DL101121 (MA)

Record details

NPI number1952289555
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 22, 2025
Last updated in NPPESAugust 29, 2025
Certification dateAugust 29, 2025
Mailing address44 2nd St, Cambridge, MA 02141-1735

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