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

Jaewoo Kim

Individual provider General Practice Dentistry · NPI 1528804689

Jaewoo Kim is a General Practice Dentistry in Hallam, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2024

Practice location Address checks out

450 W Market St
Hallam, PA 17406-1024
Phone: (231) 942-2827
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DS044670 (PA)

Record details

NPI number1528804689
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 8, 2024
Last updated in NPPESJuly 8, 2024
Certification dateJuly 8, 2024
Mailing address2835 Eastern Blvd, York, PA 17402-2909