P Praxis·MD
● Active Type 1 · Individual

DR. Jonathan Kim, DDS

Dentist·Snellville, GA· NPI 1083084404 · Enumerated 2015 · 10 years on NPI
Kim is 1 of 29 dentist providers in Snellville and 1 of 2660 in Georgia.
NPI age
10 years
Enumerated 2015-09-28
Primary specialty
Dentist
Plus 2 subspecialties
Licensed in
GA, CA, WA
3 states
Status
Active
No deactivations on record
Last NPPES update
2022-10-01
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 2660 active dentist providers in Georgia.

NPI age
10 years
↓ 4 yr below median (14 yr)
State licenses
3 states
Top 90% — 9% of peers are multi-state
Subspecialties
0
16% of peers hold subspecialties

NPI lifetime · 2015 → 2026

2015-09Enumerated in NPPES
2015 2026

Where they practice

Practice location
1830 Scenic Hwy N Ste 220
Snellville, GA 300782100
📞 7708449454
Mailing address
4323 Tacoma Trce
Suwanee, GA 300248731
📞 6783616213

Additional practice locations

1 secondary location on file with NPPES.

Location 2
27289 Willow Leaf Rd
Moreno Valley, CA 925554755
📞 6783616213

Specialties

  • Dentist Primary
    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...
    GA license #DN122806CA license #65136WA license #60793892 taxonomy 122300000X

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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