Search › Georgia › 111N00000X
Jong Kim, DC, LAC
NPI 1861568610 · on the registry since 2006
Practice
- Address
- 1291 Old Peachtree Rd Nw Ste 423
Suwanee, GA 30024 - Phone
- (770) 945-9035
- Fax
- (770) 714-8277
- Organisation at this address
- Dentistry Of Suwanee
Jong Kyu Kim, D.C., P.C.
Kj Group Enterprises, Inc.
Dentistry At Suwanee, P.C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Also registered as
- 171100000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-05-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia