Yeonjoo Kim, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN013991 Issued in GA

Practice address

4533 Woodruff Rd
Columbus, GA 31904-6013

Phone

(706) 660-8001

NPI assigned

Sep 28, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Candler Road Dental, PC

  dba Franklin Dental & Braces

  • General Practice Dentistry
  • Columbus, GA
  • NPI 1841387446
  NPD (past)

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254096000000",
    "number": "1619201316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 GRANVILLE DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437975",
            "telephone_number": "954-682-0666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4533 WOODRUFF RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319046013",
            "telephone_number": "706-660-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIM",
        "first_name": "YEONJOO",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-28",
        "last_updated": "2009-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013991",
            "primary": true
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN013991",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Kim, MD
• Hae Dong Kim, DO
• Hannah Miwon Kim
• Ji Hyun Kim, PHARM D
• Joyce Bobae Kim, D.O.
• Adrieanna Kimber, RBT
• Angela Genene Kimbrough, EDD, LMHC, NCC, CPCS
• Sandra D Kimbrough
• Bethany Marie Kimmel, BA, RBT, PSS
• Kind Care Services, LLC

• General Practice Dentistry in Columbus, GA
• Providers in Columbus, 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 Sep 28, 2009; 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.