Dr. Jennifer Suji Kim , DMD
Dentist - General Practice • Allendale, NJ
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jennifer Kim has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Jennifer Kim, DMD was a registered Dentist - General Practice practicing in Allendale, NJ. Throughout an active medical career spanning 1 years, Dr. Kim provided care at the practice location at 42 W ALLENDALE AVE until profile deactivation on 2021-08-01.
Practice Location & Contact Primary Location
42 W Allendale Ave
Allendale, NJ 074011739
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Allendale, NJ
Practicing in Allendale, NJ (4316 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2022-06-28NUCC Taxonomy Code: 1223G0001X
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Secondary Practice Locations
1775 Grand Concourse, Bronxcare Health Systems, Dept Of Dentistry, 6th Floor
Bronx, NY 10453
Phone: 7189018410
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Dentist
Doctor of Dental Medicine
Dentist - General Practice
Doctor of Dental Medicine
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 42 W ALLENDALE AVE, ALLENDALE, NJ 074011739 (Tel: 2017601116)
Registered at 770 ANDERSON AVE APT 7A, CLIFFSIDE PARK, NJ 070102163
Dentist (License #22DI02835700 in NJ)
Registered at 1775 GRAND CONCOURSE, BRONXCARE HEALTH SYSTEMS, DEPT OF DENTISTRY, 6TH FLOOR, BRONX, NY 10453 (Tel: 7189018410)
Registered at 5 SUMMIT ST, ENGLEWOOD CLIFFS, NJ 076321443
Recorded as JENNIFER KIM, DMD
Student in an Organized Health Care Education/Training Program
Record deactivated on August 01, 2021
NPI status registered as active in NPPES database
Registered at 1775 GRAND CONCOURSE, BRONXCARE HEALTH SYSTEMS, DEPT OF DENTISTRY, 6TH FLOOR, BRONX, NY 10453 (Tel: 7189018410)
Registered at 5 SUMMIT ST, ENGLEWOOD CLIFFS, NJ 076321443
Recorded as JENNIFER KIM, DMD
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
770 Anderson Ave Apt 7a
Cliffside Park, NJ 070102163
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