P Praxis·MD
● Active Type 1 · Individual

DR. Joo-Won Kim, DDS

Dentist·Tucker, GA· NPI 1265867014 · Enumerated 2013 · 12 years on NPI
Kim is 1 of 36 dentist providers in Tucker and 1 of 4309 in Georgia.
NPI age
12 years
Enumerated 2013-09-12
Primary specialty
Dentist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2014-02-04
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 4309 active dentist providers in Georgia.

NPI age
12 years
↓ 6 yr below median (18 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2013 → 2026

2013-09Enumerated in NPPES
2013 2026

Where they practice

Practice location
4500 Hugh Howell Rd, Suite 140
Tucker, GA 300844723
📞 7709389090
Mailing address
4500 Hugh Howell Rd, Suite 140
Tucker, GA 300844723
📞 7709389090

Specialties

  • Dentist Primary
    A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
    GA license #DN014661 taxonomy 1223G0001X

Practice context

Part of a multi-provider practice. 20 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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