Organization
HANOVER PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAEPIL KIM DDS (PEDIATRIC DENTIST)
(410) 756-0859
Entity
Organization
Contact information
Practice address
250 FAME AVE STE 206A, HANOVER, PA 17331-1576
(410) 756-0859
Mailing address
785 GRANDON WAY, MECHANICSBURG, PA 17050-9124
(917) 273-5233
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
02/02/2024
Last updated
02/02/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up