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TAE YUNG KIM DMD
NPI 1154842797
Dentist - General Practice in Jacksonville, FL

Active since July 05, 2017
BLDG H 2005 KNIGHT LANE, NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SVCS, JACKSONVILLE, FL 32212(760) 725-0140 Get Directions Write a Review

NPPES record last updated: July 5, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tae Yung Kim Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAE YUNG KIM DMD (NPI 1154842797) is an individual general practice provider in Jacksonville, Florida, licensed in Pennsylvania (DS041435) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1154842797
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameTAE YUNG KIMCredential: DMD
Location AddressBLDG H 2005 KNIGHT LANE, NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SVCSJacksonville, FL 32212
Mailing Address505 West Bobier Drive, Apt 302Vista, CA 92083 · (215) 962-6316
Phone(760) 725-0140
Sole ProprietorNo
Enumeration DateJuly 5, 2017
✔ NPI 1154842797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in PA · DS041435
Definition
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.
BLDG H 2005 KNIGHT LANE, Jacksonville, FL 32212
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Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMIE HEIM DDS
Dentist
BLDG H 2005 KNIGHT LANE, NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SVCS
JACKSONVILLE, FL 32212
Duval County (760) 725-5102
MRS. ADRIENNE MARIA GUENTHER RPH
Pharmacist
BLDG H 2005 KNIGHT LANE, ATTN;MEDICAL STAFF SERVICES ,NAVY MEDICINE SUPPORT COMM
JACKSONVILLE, FL 32212
Duval County (904) 542-7200
MS. AMY LYNN TRAMALONI NNP
Nurse Practitioner (Neonatal, Critical Care)
BLDG H 2005 KNIGHT LANE, NAVY MEDICAL SUPPORT COMMAND
JACKSONVILLE, FL 32212
Duval County (760) 725-9457
DR. DYLAN CAHILL ARNOLD DO
Emergency Medicine
BLDG H 2005 KNIGHT LANE, NAVY MEDICINE SUPPORT COMMAND, DMHRSI TEAM
JACKSONVILL, FL 32212
Duval County (757) 635-4579
DR. SHAY RAZMI
Dentist (General Practice)
BLDG H 2005 KNIGHT LANE, NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SVCS
JACKSONVILLE, FL 32212
Duval County (760) 725-2331
DI KHOO M.D.
Military Health Care Provider
BLDG H 2005 KNIGHT LANE, ATTN: MEDICAL STAFF SERVICES. NAVY MEDICINE SUPPORT COM
JACKSONVILLE, FL 32212
Duval County (619) 532-6400
PETER FORD KNICKERBOCKER DO
Pediatrics (Neonatal-Perinatal Medicine)
BLDG H 2005 KNIGHT LANE, NAVY MEDICINE SUPPORT COMMAND
JACKSONVILLE, FL 32212
Duval County (215) 298-2476
DR. ANDRE CHARLES SANTOS D.D.S.
Dentist
BLDG H 2005 KNIGHT LANE, NAVY MEDICINE SUPPORT COMMAND ATTN:MEDICAL STAFF SVCS
JACKSONVILLE, FL 32212
Duval County (760) 725-5102

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tae Kim's NPI number?

The NPI number for Tae Kim is 1154842797. It was assigned to this individual provider in the NPPES registry on July 5, 2017.

Where is Tae Kim located?

Tae Kim practices at Bldg H 2005 Knight Lane Navy Medicine Support Command Attn: Medical Staff Svcs, Jacksonville, FL 32212. The listed phone number is (760) 725-0140.

What is Tae Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Tae Kim was last updated on July 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.