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DR. JAE KYONG KIM DDS
NPI 1457032476
Dentist in Longview, TX

Active since July 31, 2023
3080 N EASTMAN RD STE 104, LONGVIEW, TX 75605(903) 686-0086 Get Directions Write a Review

NPPES record last updated: August 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jae Kyong Kim Dds NPPES

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

DR. JAE KYONG KIM DDS (NPI 1457032476) is an individual dentist in Longview, Texas, licensed in Texas (39882) and active in the NPI registry since July 2023.

NPPES Registry Identity

NPI1457032476
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JAE KYONG KIMCredential: DDS
Location Address3080 N EASTMAN RD STE 104Longview, TX 75605-7978
Mailing Address9672 Minton DrFort Worth, TX 76108-3887 · (817) 914-7037
Phone(903) 686-0086
Sole ProprietorNo
Enumeration DateJuly 31, 2023
Last NPPES UpdateAugust 1, 2023
NPPES CertifiedAugust 1, 2023
✔ NPI 1457032476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in TX · 39882
Definition
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.
3080 N EASTMAN RD STE 104, Longview, TX 75605
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Other Providers at the Same Location NPPES

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

MISS BEMISAL ITMER DDS
Dentist (General Practice)
3080 N EASTMAN RD STE 104
LONGVIEW, TX 75605
Gregg County (214) 680-6376

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 Jae Kyong Kim's NPI number?

The NPI number for Jae Kyong Kim is 1457032476. It was assigned to this individual provider in the NPPES registry on July 31, 2023.

Where is Jae Kyong Kim located?

Jae Kyong Kim practices at 3080 N Eastman Rd Ste 104, Longview, TX 75605. The listed phone number is (903) 686-0086.

What is Jae Kyong Kim's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Jae Kyong Kim accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 20 other insurers list Jae Kyong Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jae Kyong Kim was last updated on August 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.