NPI age
18 years
Enumerated 2008-05-07
● Active
Type 1 · Individual
MR. Beomjune B Kim, DMD, MD, FACS
Kim is 1 of 3 dentist providers in Newnan and 1 of 358 in Georgia.
Primary specialty
Dentist
Plus 5 subspecialties
Licensed in
GA, LA, OK
3 states
Status
Active
No deactivations on record
Last NPPES update
2021-08-24
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 358 active dentist providers in Georgia.
NPI age
18 years
≈ at median (18 yr)
State licenses
3 states
Top 85% — 14% of peers are multi-state
Subspecialties
3
In the 25% of peers with subspecialties
NPI lifetime · 2008 → 2026
2008-05Enumerated in NPPES
2008
2026
Where they practice
Practice location
600 Celebrate Life Pkwy
Newnan, GA 302658001
Mailing address
600 Celebrate Life Pkwy
Newnan, GA 302658001
Specialties
-
Dentist PrimaryThe specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
-
Oral & Maxillofacial SurgeryOral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained...
-
OtolaryngologyAn otolaryngologist who specializes in facial plastic surgery.
-
OtolaryngologyAn otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 88953 | GA MEDICAL LICENSE |
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 76 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.