| Jae Do Kim, DDS | |
|
205 South St, Fort Bragg, CA 95437-5540 | |
| (707) 961-4088 | |
| Not Available |
| Full Name | Jae Do Kim |
|---|---|
| Gender | Male |
| Speciality | Dentist - General Practice |
| Location | 205 South St, Fort Bragg, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437501566 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 102969 (California) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (New York) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Jae Do Kim, DDS 5120 Nw 17th St, Oklahoma City, OK 73127-2858 Ph: (678) 717-9568 | Jae Do Kim, DDS 205 South St, Fort Bragg, CA 95437-5540 Ph: (707) 961-4088 |
Dr. Brandon Lebeck, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 801 River Dr, Fort Bragg, CA 95437 Phone: 707-964-8080 |
Dr. M. Lee Baker, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 890 River Dr, Fort Bragg, CA 95437 Phone: 707-964-0255 Fax: 707-964-5847 |
Dr. James Frederick Mattson, DDS Dentist Medicare: Medicare Enrolled Practice Location: 499 Chestnut St, Suite C, Fort Bragg, CA 95437 Phone: 707-964-5616 Fax: 707-964-5917 |
Natanael Poenaru, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 825 Sequoia Cir, Fort Bragg, CA 95437 Phone: 509-675-0314 |
Kenneth Roger Baumgartner, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 18175 N Highway One, Fort Bragg, CA 95437 Phone: 707-964-0440 Fax: 707-964-8373 |
Dr. Roderick E. Mcmillen Jr., D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 825 Sequoia Circle, Fort Bragg, CA 95437 Phone: 707-964-0242 Fax: 707-964-0244 |
Amelia Hanney, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 801 River Dr, Fort Bragg, CA 95437 Phone: 707-964-8080 |