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

Jason Kim

Individual provider General Practice Dentistry · NPI 1396962700

Jason Kim is a General Practice Dentistry in Atlanta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2007

Practice location Address checks out

1720 Old Spring House Ln Ste 315
Atlanta, GA 30338-6215
Phone: (770) 451-7041
Fax: (770) 451-4886
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 013467 (GA)

Record details

NPI number1396962700
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 19, 2007
Last updated in NPPESJuly 8, 2007
Mailing address1720 Old Spring House Ln, Ste 315, Atlanta, GA 30338-6215

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