P Praxis·MD
● Active Type 1 · Individual

Kyung Sang Kim, DMD

Dentist·Fort Gordon, GA· NPI 1124076328 · Enumerated 2006 · 20 years on NPI
Kim is 1 of 4 dentist providers in Fort Gordon and 1 of 113 in Georgia.
NPI age
20 years
Enumerated 2006-05-04
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
MA
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-03-04
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 113 active dentist providers in Georgia.

NPI age
20 years
≈ at median (19 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
1
In the 40% of peers with subspecialties

NPI lifetime · 2006 → 2026

2006-05Enumerated in NPPES
2006 2026

Where they practice

Practice location
Tingay Dental Clinic, 320 W Hospital Road
Fort Gordon, GA 309050001
📞 0678751027
Mailing address
Tingay Dental Clinic, 320 W Hospital Road
Fort Gordon, GA 309053976
📞 7036389410

Specialties

  • Dentist Primary
    That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and...
    MA license #DN20536 taxonomy 1223P0700X
  • Dentist
    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...
    MA license #20536 taxonomy 122300000X

Practice context

Part of a multi-provider practice. 1 other active provider shares 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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