Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902463052 Individual Practitioner Male Practitioner

Dr. Jae Ha Kim , DDS

Dentist • Charlottesville, VA

Professional Overview & Biography Verified Profile Summary

Dr. Jae Ha Kim, DDS is a registered healthcare professional specializing in Dentist in Charlottesville, VA. Practice services are available at 2700 HYDRAULIC RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2700 Hydraulic Rd

Charlottesville, VA 229018915

Telephone 4349732968
Associated Practice Facility / Clinic
🏢 Matthew P Harrison Dds Pllc Facility NPI 1407536733

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Charlottesville, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.0 Yrs
State Avg: 15.7 Yrs
Regional Practice Density
60 Specialists

Practicing in Charlottesville, VA (2514 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-12-15
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License MI 2901023211

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Matthew Harrison , DDS

Dentist - General Practice

NPI 1366860090

Doctor of Dental Surgery

Dr. John Lyon , DDS

Dentist - General Practice

NPI 1518036532

Doctor of Dental Surgery

Dr. Betty Lyon , DDS

Dentist - General Practice

NPI 1942379979

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location December 15, 2025

Registered at 2700 HYDRAULIC RD, CHARLOTTESVILLE, VA 229018915 (Tel: 4349732968)

📍
Updated Business Mailing Address December 15, 2025

Registered at 2700 HYDRAULIC RD, CHARLOTTESVILLE, VA 229018915 (Tel: 3138150803)

NPI Profile Active May 23, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location May 23, 2019

Registered at 5200 S WESTNEDGE AVE, PORTAGE, MI 490020405 (Tel: 2693826656)

📍
Updated Business Mailing Address May 23, 2019

Registered at 460 ORCHARD AVE, HAZEL PARK, MI 480301365 (Tel: 3138150803)

👤
Provider Name / Credentials Updated May 23, 2019

Recorded as JAE HA KIM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2019

Dentist (License #2901023211 in MI)

🟢
Initial NPI Registration & Enumeration May 23, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902463052
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2019
Last Update: December 15, 2025
Sole Proprietor: No

Mailing Address

2700 Hydraulic Rd

Charlottesville, VA 229018915

Phone: 3138150803

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.