Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1821821943 Individual Practitioner Female Practitioner

Jinah Kim

Dentist - General Practice • Lagrange, GA

Professional Overview & Biography Verified Profile Summary

Jinah Kim is a registered healthcare professional specializing in Dentist - General Practice in Lagrange, GA. Practice services are available at 105 PARKER DR # A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

105 Parker Dr # A

Lagrange, GA 302406436

Telephone 7068843636

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Lagrange, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
26 Specialists

Practicing in Lagrange, 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

CMS Verified: 2026-07-15
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AL D.007456-C1

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Dentist - Endodontics

NUCC Taxonomy Code: 1223E0200X

State License GA DN124259

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Practice Associates & Co-Workers

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

1 Associated Practitioners
Dr. David Fagundes , DMD

Dentist - Endodontics

NPI 1184701815

Doctor of Dental Medicine

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location July 15, 2026

Registered at 105 PARKER DR # A, LAGRANGE, GA 302406436 (Tel: 7068843636)

📍
Updated Business Mailing Address July 15, 2026

Registered at 105 PARKER DR, LAGRANGE, GA 302406436 (Tel: 7068843636)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2025

Dentist (License #D.007456-C1 in AL)

NPI Profile Active August 23, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location August 23, 2024

Registered at 1919 7TH AVE S # SDB538, BIRMINGHAM, AL 352332005 (Tel: 2059344122)

📍
Updated Business Mailing Address August 23, 2024

Registered at 1919 7TH AVENUE SOUTH SDB 538, BIRMINGHAM, AL 352940007 (Tel: 2059345045)

👤
Provider Name / Credentials Updated August 23, 2024

Recorded as JINAH KIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration August 23, 2024

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: 1821821943
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 23, 2024
Last Update: July 15, 2026
Sole Proprietor: No

Mailing Address

105 Parker Dr

Lagrange, GA 302406436

Phone: 7068843636

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.