DR. JAE-CHUN KIM DMD
NPI 1639816200
Dentist in Apo, AP

Q: What is Jae-chun Kim's NPI number?

The NPI number for Jae-chun Kim is 1639816200. It was assigned to this individual provider in the NPPES registry on May 16, 2022.

Q: What is Jae-chun Kim's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jae-chun Kim was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.

Active since May 16, 2022

51ST MEDICAL GROUP, UNIT 2060, APO, AP 96278(315) 784-2108 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 26, 2023, Feb 14, 2023, May 16, 2022 (3 updates tracked since 2022).

On this page

About Dr. Jae-chun Kim Dmd NPPES

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

DR. JAE-CHUN KIM DMD (NPI 1639816200) is an individual dentist in Apo, AP, licensed in Connecticut (13439) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1639816200

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. JAE-CHUN KIMCredential: DMD

Location Address51ST MEDICAL GROUP, UNIT 2060Apo, AP 96278-2060

Mailing Address51st Medical Group, Unit 2060Apo, AP 96278-2060 · (315) 784-2108

Phone(315) 784-2108

Sole ProprietorNo

Enumeration DateMay 16, 2022

Last NPPES UpdateAugust 26, 20253 updates tracked since enumeration

NPPES CertifiedAugust 26, 2025

✔ NPI 1639816200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CT · 13439

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.

51ST MEDICAL GROUP, Apo, AP 96278

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

CHANUTE LOCKHART PA-C

Physician Assistant