Joseph J Kim DDS PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN013766 Issued in GA

Legal business name

JOSEPH J KIM DDS PC

Doing business as

YES Dentistry and Implant Center

Practice address

2005 Boggs Rd
#107
Duluth, GA 30096-4601

Phone

(770) 497-0885

NPI assigned

May 2, 2017

Last updated

May 2, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joesph Kim, DDS

Title

Owner

Phone

(770) 497-0885

Specialties & licenses 2

Addresses

Other names 1

• YES Dentistry and Implant Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joseph Kim, D.D.S., D.C.

  • General Practice Dentistry
  • Duluth, GA
  • NPI 1821246729

  Chiropractor

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1493683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493683200000",
    "number": "1063948750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 BOGGS RD",
            "address_2": "#107",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964601",
            "telephone_number": "770-497-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 BOGGS RD",
            "address_2": "#107",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964601",
            "telephone_number": "770-497-0885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH J KIM DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-02",
        "last_updated": "2017-05-02",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JOESPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-497-0885",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR005434",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YES Dentistry and Implant Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shirleysia Jones
• Wan Bae Joo, D.C.
• Debra Jordan-McCurdy, SLP-CCC
• Jazzmine Jorden
• Jose L. Cangiano,M.D.,P.C.
• Jasmine Dorise Joseph, PA
• Rachel Joseph
• Manisha S Joshi
• Judy a. Williams
• Patricia Julien

• General Practice Dentistry in Duluth, GA
• Providers in Duluth, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.