Individual provider · Type 1 NPI
Jin Moo Kim
Dentist · Conyers, GA
Practice location
1450 Highway 138 SE
Conyers, GA 30013-1285
Mailing address
8510 Saint Marlo Fairway Dr
Duluth, GA 30097-6602
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist Primary | 122300000X | D123926 (GA) |
Dentist: 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 requiremen…
3 other providers at this address
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- Brandon Lynch, DDSDentist Conyers, GA NPI 1184299984
- Kimberly Anne Peters, DMDDentist Conyers, GA NPI 1194166306
- Jody Lee Granier, DDSDentist Conyers, GA NPI 1194703215
- Franklin Chuks Anya, DDSDentist Conyers, GA NPI 1225799281
About NPI 1104619360
Jin Moo Kim's National Provider Identifier is 1104619360, issued on May 28, 2025. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Conyers, GA. The record was last updated on Aug 11, 2025.