National Provider Identifier
Jacqueline Kim, DDS
Jacqueline Kim, DDS is listed in the NPPES registry with a primary specialty of Dentist in Pittsford, NY and a listed phone number of (585) 248-5250.
Profile Overview
- NPI
- 1144966649
- Provider Type
- Individual
- Primary Specialty
- Dentist
- Enumeration Date
- May 08, 2022
- Last Updated
- August 07, 2023
Practice Location
- 3592 Monroe Ave
- Pittsford, NY 14534-1235
Phone: (585) 248-5250
Specialties
- Dentist (122300000X)
Full Record
- NPI
- 1144966649
- Entity Type
- Individual
- Last Name
- Kim
- First Name
- Jacqueline
- Name Prefix
- Dr.
- Credential
- DDS
- Mailing Street Address
- 3592 Monroe Ave
- Mailing City
- Pittsford
- Mailing State
- NY
- Mailing ZIP Code
- 14534-1235
- Mailing Country
- US
- Mailing Phone
- (585) 248-5250
- Practice Street Address
- 3592 Monroe Ave
- Practice City
- Pittsford
- Practice State
- NY
- Practice ZIP Code
- 14534-1235
- Practice Country
- US
- Practice Phone
- (585) 248-5250
- Enumeration Date
- May 08, 2022
- Last Updated
- August 07, 2023
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- August 07, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dentist (122300000X)