Active NPI 1619201316 Individual Practitioner Female Practitioner

Dr. Yeonjoo Kim , DMD

Dentist - General Practice • Columbus, GA

Professional Overview & Biography Verified Profile Summary

Dr. Yeonjoo Kim, DMD is a registered healthcare professional specializing in Dentist - General Practice in Columbus, GA. Practice services are available at 4533 WOODRUFF RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4533 Woodruff Rd

Columbus, GA 319046013

Telephone 7066608001

Associated Practice Facility / Clinic

🏢 Candler Road Dental, Pc Facility NPI 1841387446

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Columbus, GA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 22.8 Yrs

Regional Practice Density

66 Specialists

Practicing in Columbus, GA (3302 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN013991

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Dentist - Pediatric Dentistry

NUCC Taxonomy Code: 1223P0221X

State License GA DN013991

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Barry Weaver , DMD

Dentist - General Practice

NPI 1225310790

Doctor of Dental Medicine

Dr. Hazel Haynes , DMD

Dentist - General Practice

NPI 1518986942

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 28, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location September 28, 2009

Registered at 4533 WOODRUFF RD, COLUMBUS, GA 319046013 (Tel: 7066608001)

📍

Updated Business Mailing Address September 28, 2009

Registered at 1909 GRANVILLE DR, LAWRENCEVILLE, GA 300437975 (Tel: 9546820666)

👤

Provider Name / Credentials Updated September 28, 2009

Recorded as YEONJOO KIM, D.M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 28, 2009

Dentist (License #DN013991 in GA)

🟢

Initial NPI Registration & Enumeration September 28, 2009

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: 1619201316

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 28, 2009

Last Update: September 28, 2009

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1909 Granville Dr

Lawrenceville, GA 300437975

Phone: 9546820666

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.