Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JIN MOO KIM
Active Sole ProprietorJIN MOO KIM is a Dentist healthcare provider located in CONYERS, Georgia. NPI 1104619360 is currently active in the NPPES registry. Verify at CMS.
Dentist · CONYERS, GA
Registration Details
- NPI Number
- 1104619360
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 28, 2025 (1.1883274258423 yrs)
- Last Updated
- Aug 11, 2025
- License
-
D123926 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1450 HIGHWAY 138 SECONYERS, GA, 300131285Browse GA providers · Browse ZIP 30013
- Phone
- 6785219727
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in CONYERS, GA
| Name | Credential | NPI |
|---|---|---|
| DR. JELANI TENOA WASHINGTON SR. | D.D.S. | 1083698757 |
| DR. JODY LEE GRANIER | DDS | 1194703215 |
| DR. MARK SHURETT | DDS | 1437137577 |
| DR. IGOR REIZENSON | DDS | 1477531515 |
| DR. ERIK THURSTON GOODWIN | DDS | 1457339590 |
| DR. JINOOS FARHANG FALLAH | DMD | 1306824438 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.