STEPHANIE KIM
NPI 1255823175
Dentist - General Practice in Marietta, GA

Active since June 06, 2018
4250 ROSWELL RD STE 110, MARIETTA, GA 30062(770) 509-5585 Get Directions Write a Review

NPPES record last updated: June 6, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Stephanie Kim NPPES

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

STEPHANIE KIM (NPI 1255823175) is an individual general practice provider in Marietta, Georgia, licensed in Georgia (DN015647) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1255823175
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameSTEPHANIE KIM
Location Address4250 ROSWELL RD STE 110Marietta, GA 30062-8114
Mailing Address3097 Maple Dr Ne Apt 544Atlanta, GA 30305-3056
Sole ProprietorNo
Enumeration DateJune 6, 2018
NPI 1255823175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in GA · DN015647
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

4250 ROSWELL RD STE 110, Marietta, GA 30062

Accepted Insurance

Other Providers at the Same Location NPPES 5

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

Dentist
4250 ROSWELL RD STE 110
MARIETTA, GA 30062
Dentist (General Practice)
4250 ROSWELL RD STE 110
MARIETTA, GA 30062
Dentist (General Practice)
4250 ROSWELL RD STE 110
MARIETTA, GA 30062
Dentist (Endodontics)
4250 ROSWELL RD STE 110
MARIETTA, GA 30062
Dentist (Endodontics)
4250 ROSWELL RD STE 110
MARIETTA, GA 30062

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255823175, enumerated as an "individual" on June 06, 2018.

The provider is located at 4250 ROSWELL RD STE 110 MARIETTA, GA 30062 and the phone number is (770) 509-5585.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, BEST Life, Blue. Please consult your insurance carrier or call the provider to verify.