P Praxis·MD
● Active Type 1 · Individual

DR. Jennifer Kim, D.M.D.

Dentist·Marietta, GA· NPI 1366652737 · Enumerated 2007 · 19 years on NPI
Kim is 1 of 219 dentist providers in Marietta and 1 of 4309 in Georgia.
NPI age
19 years
Enumerated 2007-05-23
Primary specialty
Dentist
Plus 1 subspecialty
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-05-13
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
19 years
≈ at median (18 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
1
In the 13% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-05Enumerated in NPPES
2007 2026

Where they practice

Practice location
3020 Roswell Rd Ste 110
Marietta, GA 30062
📞 7708554617
Mailing address
3142 Barkley Square Dr
Duluth, GA 300973464
📞 7708554617

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 #DN013329 taxonomy 1223G0001X
  • Dentist
    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...
    GA license #DN013329 taxonomy 1223P0700X

Identifiers

TypeValueNotes
05 (GA) 003127719A

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

Recently enumerated nearby: 2 new dentist providers have been added in Marietta in the last 180 days. See all →
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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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