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NPI Code Detail

MEDICARE: JADE KIM DDS PS

MEDICARE: JADE KIM DDS PS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist

General Provider Information

NPI Number : 1295683241
Entity Type Code : Organization
Provider Name (Legal Business Name) : JADE KIM DDS PS
Provider Business Mailing Address
First Line : 2401 N 45TH ST
Second Line :
City : SEATTLE
State : WA
Zip : 98103-6968
Country : US
Telephone Number : 206-632-1214
Fax Number : 206-634-1229
Provider Business Practice Location Address
First Line : 2401 N 45TH ST
Second Line :
City : SEATTLE
State : WA
Zip : 98103-6968
Country : US
Telephone Number : 206-632-1214
Fax Number : 206-634-1229
Authorized Official
Title or Position : OWNER
Name : JADE KIM
Credential :
Telephone Number : 206-632-1214
Provider Enumeration Date : 03/17/2026
Last Update Date : 03/17/2026

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Directions to “JADE KIM DDS PS ” Practice Location

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