National Provider Identifier
Jeonghyeon Kim
Jeonghyeon Kim is listed in the NPPES registry with a primary specialty of Dentist in Buffalo, NY and a listed phone number of (716) 829-2862.
Profile Overview
- NPI
- 1740604107
- Provider Type
- Individual
- Primary Specialty
- Dentist
- Enumeration Date
- February 05, 2014
- Last Updated
- February 05, 2014
Practice Location
- 215 Squire Hall
- 3435 Main St
- Buffalo, NY 14214-8006
Phone: (716) 829-2862
Mailing Address
- 8214 Golden Oak Cir
- Williamsville, NY 14221-8504
Specialties
- Dentist (122300000X)
Full Record
- NPI
- 1740604107
- Entity Type
- Individual
- Last Name
- Kim
- First Name
- Jeonghyeon
- Name Prefix
- Dr.
- Mailing Street Address
- 8214 Golden Oak Cir
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-8504
- Mailing Country
- US
- Mailing Phone
- (716) 829-2862
- Mailing Fax
- (716) 829-2440
- Practice Street Address
- 215 Squire Hall
- Practice Address Line 2
- 3435 Main St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14214-8006
- Practice Country
- US
- Practice Phone
- (716) 829-2862
- Practice Fax
- (716) 829-2440
- Enumeration Date
- February 05, 2014
- Last Updated
- February 05, 2014
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Dentist (122300000X)