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

John W Kim, DMD

Individual provider Dentist · NPI 1083978266

John W Kim, DMD is a Dentist in Fayetteville, Georgia. Licensed in Florida and Georgia. Registered with an NPI since 2012.

Licensed in
FL, GA
In the registry since
2012
Specialties on file
3
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

1135 Highway 85 N Ste A
Fayetteville, GA 30214-2085
Phone: (407) 587-9665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN122546 (GA)
Dentist Taxonomy 122300000X · Licence DN19740 (FL)
General Practice Dentistry Taxonomy 1223G0001X · Licence DN19740 (FL)

Record details

NPI number1083978266
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 2, 2012
Last updated in NPPESDecember 29, 2021
Certification dateDecember 29, 2021
Mailing address1135 Highway 85 N Ste A, Fayetteville, GA 30214-2085

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