Kim, John W

Kim, John W is an individual health care provider with primary practice located at 1135 Highway 85 N Ste A , Fayetteville GA 30214-2085. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Kim, John W can be contacted via phone (407) 587-9665.

Contact Information

Primary practice address
1135 Highway 85 N Ste A Fayetteville GA 30214-2085
Phone: (407) 587-9665
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN19740 Florida
Dental Providers / General Practice 1223G0001X DN19740 Florida
Dental Providers / General Practice 1223G0001X DN122546 Georgia

Profile Details

NPI number 1083978266
LBN Legal business name Kim, John W
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2012
Last updated Dec 29th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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