Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1982396180 Individual Practitioner Female Practitioner

Ji Yoon Ko

Dentist • Bogart, GA

Professional Overview & Biography Verified Profile Summary

Ji Yoon Ko is a registered healthcare professional specializing in Dentist in Bogart, GA. Practice services are available at 1110 TALUS ST STE 100 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1110 Talus St Ste 100

Bogart, GA 306224000

Telephone 7707257377
Associated Practice Facility / Clinic
🏢 Bm Dental Pc Facility NPI 1750801718

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Bogart, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 26.3 Yrs
Regional Practice Density
4 Specialists

Practicing in Bogart, GA (2164 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-12-17
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License GA DN123746

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Secondary Practice Locations

1040 Garland Dr Ste 200

Bogart, GA 306223201

Phone: 6786610709

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1073400354

Doctor of Dental Medicine

NPI 1154707370

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location December 17, 2025

Registered at 1110 TALUS ST STE 100, BOGART, GA 306224000 (Tel: 7707257377)

📍
Updated Business Mailing Address December 17, 2025

Registered at 1915 TONALIST TRL, SUWANEE, GA 300244755

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2025

Dentist (License #DN123746 in GA)

📍
Updated Business Mailing Address July 20, 2024

Registered at 4335 S GRAND CANYON DR UNIT 280, LAS VEGAS, NV 891477190

📍
Updated Practice Location August 16, 2023

Registered at 5514 CAMINO AL NORTE STE A2, NORTH LAS VEGAS, NV 890310807 (Tel: 7028271352)

📍
Updated Business Mailing Address August 16, 2023

Registered at 7880 W MAULE AVE UNIT 1039, LAS VEGAS, NV 891135381

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2023

Dentist (License #7898 in NV)

NPI Profile Active May 24, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location May 24, 2023

Registered at 2889 PLAZA DEL AMO UNIT 609, TORRANCE, CA 905037378 (Tel: 3108679214)

📍
Updated Business Mailing Address May 24, 2023

Registered at 2889 PLAZA DEL AMO UNIT 609, TORRANCE, CA 905037378

👤
Provider Name / Credentials Updated May 24, 2023

Recorded as JI YOON KO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 24, 2023

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 24, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1982396180
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2023
Last Update: December 17, 2025
Sole Proprietor: No

Mailing Address

1915 Tonalist Trl

Suwanee, GA 300244755

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.