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

Dr. Young Tae Shim, DMD

Individual provider Dentist · NPI 1790011609

Dr. Young Tae Shim, DMD is a Dentist in Duluth, Georgia. Practices as a sole proprietor. Licensed in Georgia and Texas.

Licensed in
GA, TX
In the registry since
2009
Specialties on file
2
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

2925 Premiere Pkwy Ste 175B
Duluth, GA 30097-5258
Phone: (404) 910-9060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 31033 (TX)
Dentist Taxonomy 122300000X · Licence DN13999 (GA)

Record details

NPI number1790011609
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedOctober 27, 2009
Last updated in NPPESJune 1, 2022
Certification dateJune 1, 2022

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