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

Jason Minje Kim, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1407547151

Jason Minje Kim, DDS is a Student in an Organized Health Care Education/Training Program in West Milwaukee, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2023
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

2100 Miller Park Way
West Milwaukee, WI 53219-1641
Phone: (317) 965-9259
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 6001179-15 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1407547151
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 15, 2023
Last updated in NPPESJuly 25, 2023
Certification dateJuly 25, 2023
Mailing address161 W Wisconsin Ave Apt 214, Milwaukee, WI 53203-2605

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