Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jonathan Kim, DDS

Individual provider Dentist · NPI 1083084404

Dr. Jonathan Kim, DDS is a Dentist in Snellville, Georgia. Practices as a sole proprietor and works from 2 locations. Licensed in California, Georgia and Washington.

Licensed in
CA, GA, WA
In the registry since
2015
Specialties on file
3
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1830 Scenic Hwy N Ste 220
Snellville, GA 30078-2100
Phone: (770) 844-9454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 27289 Willow Leaf Rd, Moreno Valley, CA 92555-4755 — (678) 361-6213

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence DN122806 (GA)
Dentist Taxonomy 122300000X · Licence 65136 (CA)
Dentist Taxonomy 122300000X · Licence 60793892 (WA)

Record details

NPI number1083084404
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedSeptember 28, 2015
Last updated in NPPESOctober 1, 2022
Certification dateOctober 1, 2022
Mailing address4323 Tacoma Trce, Suwanee, GA 30024-8731

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