DR. JONATHAN KIM DDS
NPI 1083084404
Dentist in Snellville, GA

Q: What is Jonathan Kim's NPI number?

The NPI number for Jonathan Kim is 1083084404. It was assigned to this individual provider in the NPPES registry on September 28, 2015.

Q: What is Jonathan Kim's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Kim was last updated on October 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 28, 2015

1830 SCENIC HWY N STE 220, SNELLVILLE, GA 30078(770) 844-9454 Get Directions Write a Review

NPPES record last updated: October 1, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 1, 2022, Apr 16, 2018, Sep 28, 2015 (3 updates tracked since 2015).

On this page

About Dr. Jonathan Kim Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JONATHAN KIM DDS (NPI 1083084404) is an individual dentist in Snellville, Georgia, licensed in Georgia (DN122806) and active in the NPI registry since September 2015. He maintains a secondary practice location in Moreno Valley.

NPPES Registry Identity

NPI1083084404

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. JONATHAN KIMCredential: DDS

Location Address1830 SCENIC HWY N STE 220Snellville, GA 30078-2100

Mailing Address4323 Tacoma TrceSuwanee, GA 30024-8731 · (678) 361-6213

Phone(770) 844-9454

Sole ProprietorYes

Enumeration DateSeptember 28, 2015

Last NPPES UpdateOctober 1, 20223 updates tracked since enumeration

NPPES CertifiedOctober 1, 2022

✔ NPI 1083084404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in GA · DN122806✔ Licensed in CA · 65136✔ Licensed in WA · 60793892

Definition

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 requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1830 SCENIC HWY N STE 220, Snellville, GA 30078

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Secondary Practice Location 1

Location 127289 Willow Leaf RdMoreno Valley, CA 92555-4755 · Phone (678) 361-6213

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEJUANQUARIES STEPHENS DMD

Dentist

1830 SCENIC HWY N STE 220
SNELLVILLE, GA 30078

Gwinnett County (770) 844-9454

DR. EUN J SHIN DMD

Dentist

1830 SCENIC HWY N STE 220
SNELLVILLE, GA 30078

Gwinnett County (770) 844-9454

NAZAM LAKHANI

Dentist (General Practice)

1830 SCENIC HWY N STE 220
SNELLVILLE, GA 30078

Gwinnett County (770) 844-9454

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jonathan Kim's NPI number?

The NPI number for Jonathan Kim is 1083084404. It was assigned to this individual provider in the NPPES registry on September 28, 2015.

Where is Jonathan Kim located?

Jonathan Kim practices at 1830 Scenic Hwy N Ste 220, Snellville, GA 30078. The listed phone number is (770) 844-9454.

What is Jonathan Kim's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Jonathan Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Jonathan Kim as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jonathan Kim was last updated on October 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.