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

Tae Yung Kim, DMD

Individual provider General Practice Dentistry · NPI 1154842797

Tae Yung Kim, DMD is a General Practice Dentistry in Jacksonville, Florida. Licensed in Pennsylvania. Registered with an NPI since 2017.

Licensed in
PA
In the registry since
2017
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

Bldg H 2005 Knight Lane Navy Medicine Support Command Attn: Medical Staff Svcs
Jacksonville, FL 32212
Phone: (760) 725-0140
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DS041435 (PA)

Record details

NPI number1154842797
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 5, 2017
Last updated in NPPESJuly 5, 2017

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