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

Dr. Kyung Sang Kim, DMD

Individual provider Prosthodontics · NPI 1124076328

Dr. Kyung Sang Kim, DMD is a Prosthodontics in Augusta, Georgia. Licensed in California, Georgia, Massachusetts and Virginia. Registered with an NPI since 2006.

Licensed in
CA, GA, MA, VA
In the registry since
2006
Specialties on file
4
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1430 John Wesley Gilbert Dr
Augusta, GA 30912-0001
Phone: (706) 721-2371
Fax: (706) 721-6778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X · Licence DN123951 (GA)
Prosthodontics Taxonomy 1223P0700X · Licence 0401419634 (VA)
Prosthodontics Taxonomy 1223P0700X · Licence DDS112449 (CA)
Prosthodontics Taxonomy 1223P0700X · Licence DN20536 (MA)

Record details

NPI number1124076328
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 4, 2006
Last updated in NPPESJune 22, 2026
Certification dateJune 22, 2026

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