Provider Demographics
NPI:1427365907
Name:KIM, JENNIFER SUEMEE (DDS)
Entity Type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:SUEMEE
Last Name:KIM
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3404 BEAVER CREEK DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-3124
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1920 W ELDORADO PKWY
Practice Address - Street 2:SUITE #900
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-7962
Practice Address - Country:US
Practice Address - Phone:972-547-6134
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-07
Last Update Date:2010-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX237011223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics