P Praxis·MD
● Active Type 1 · Individual

DR. Joanne Jeehae Kim

Dentist·Martinez, GA· NPI 1205290327 · Enumerated 2016 · 10 years on NPI
Kim is 1 of 15 dentist providers in Martinez and 1 of 2660 in Georgia.
NPI age
10 years
Enumerated 2016-04-06
Primary specialty
Dentist
Licensed in
CA
1 state
Status
Active
No deactivations on record
Last NPPES update
2016-04-20
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2660 active dentist providers in Georgia.

NPI age
10 years
↓ 4 yr below median (14 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
16% of peers hold subspecialties

NPI lifetime · 2016 → 2026

2016-04Enumerated in NPPES
2016 2026

Where they practice

Practice location
512 Moody Ct Apt 201
Martinez, GA 309077338
📞 7067876927fax 7067872082
Mailing address
512 Moody Ct Apt 201
Martinez, GA 309077338
📞 7067876927fax 7067872082

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...
    CA license #100116 taxonomy 122300000X

Practice context

Solo or small practice. No 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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