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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790217115

Jennifer Eunji Kim, DDS is a Student in an Organized Health Care Education/Training Program in San Jose, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017
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.

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Practice location Address checks out

1170 Lockhaven Way
San Jose, CA 95129-4031
Phone: (408) 892-0223
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 103237 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1790217115
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedApril 3, 2017
Last updated in NPPESOctober 24, 2018

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