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JASON KIM D.D.S.
NPI 1174908529
Dentist - Oral and Maxillofacial Surgery in Apo, AP

Active since July 28, 2015
374TH MEDICAL GROUP, UNIT 5071, APO, AP 96328(315) 225-8864 Get Directions Write a Review

NPPES record last updated: July 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 19, 2024, Jun 20, 2024, May 30, 2019 and 1 more (4 updates tracked since 2018).

About Jason Kim D.d.s. NPPES

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

JASON KIM D.D.S. (NPI 1174908529) is an individual oral and maxillofacial surgery provider in Apo, AP, licensed in Texas (31024) and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1174908529
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameJASON KIMCredential: D.D.S.
Location Address374TH MEDICAL GROUP, UNIT 5071Apo, AP 96328
Mailing Address374th Medical Group, Unit 5071Apo, AP 96328
Phone(315) 225-8864
Sole ProprietorNo
Enumeration DateJuly 28, 2015
Last NPPES UpdateJuly 19, 20244 updates tracked since enumeration
NPPES CertifiedJuly 19, 2024
✔ NPI 1174908529 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in TX · 31024
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedDentistTaxonomy 122300000X · License 31024 (TX)
374TH MEDICAL GROUP, Apo, AP 96328
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Other Providers at the Same Location NPPES 14

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

DR. CYNTHIA MARY LEAF DO
Obstetrics & Gynecology
374TH MEDICAL GROUP, UNIT 5071
APO, AP 96328
(315) 225-9627
ZACHARY HICKS DO
Family Medicine
374TH MEDICAL GROUP, UNIT 5071
APO, AP 96328
(315) 225-7740
SHORTY JOHANSSON M.D.
Obstetrics & Gynecology
374TH MEDICAL GROUP, UNIT 5071
APO, AP 96328
(315) 225-8864
DR. JOSEPH CHARLES SMATHERS DC, DO
Orthopaedic Surgery (Sports Medicine)
374TH MEDICAL GROUP, UNIT 5071
APO, AP 96328
(315) 225-3575
AYANA MARIE FORDHAM MA, LCSW
Social Worker (Clinical)
374TH MEDICAL GROUP, UNIT 5071
APO, AP 96328
(315) 225-6769
WILLIAM TAYLOR TIMBERLAKE III MD, MPH
Preventive Medicine (Aerospace Medicine)
374TH MEDICAL GROUP, UNIT 5071
APO, AP 96328
(315) 225-7508
SIMMONETTE REYES APNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
374TH MEDICAL GROUP, UNIT 5071
APO, AP 96328
(330) 573-9096
DR. CHRISTINA MARIE RINCON-KEITH PHD
Psychologist (Clinical)
374TH MEDICAL GROUP, UNIT 5071
APO, AP 96328
(315) 225-3566

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 Jason Kim's NPI number?

The NPI number for Jason Kim is 1174908529. It was assigned to this individual provider in the NPPES registry on July 28, 2015.

Where is Jason Kim located?

Jason Kim practices at 374th Medical Group Unit 5071, Apo, AP 96328. The listed phone number is (315) 225-8864.

What is Jason Kim's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Jason Kim was last updated on July 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.