Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1255823175 Individual Practitioner Female Practitioner

Stephanie Kim

Dentist - General Practice • Marietta, GA

Professional Overview & Biography Verified Profile Summary

Stephanie Kim is a registered healthcare professional specializing in Dentist - General Practice in Marietta, GA. Practice services are available at 4250 ROSWELL RD STE 110 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4250 Roswell Rd Ste 110

Marietta, GA 300628114

Telephone 7705095585
Associated Practice Facility / Clinic
🏢 Johnson Ferry Dentistry, Pc Facility NPI 1275967663

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Marietta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.0 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
162 Specialists

Practicing in Marietta, 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 DN015647

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.

Practice Associates & Co-Workers

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

5 Associated Practitioners
Dr. David Chyan , DMD

Dentist - General Practice

NPI 1003546656

Doctor of Dental Medicine

Dr. Jennifer Orozco , DMD

Dentist - Endodontics

NPI 1073254397

Doctor of Dental Medicine

Dr. Michelle Lee , DMD

Dentist - General Practice

NPI 1184148330

Doctor of Dental Medicine

Katie Haber

Dentist - Endodontics

NPI 1467074294
Dr. Sarah Abdulhameed , DMD

Dentist - General Practice

NPI 1669152831

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 June 06, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 06, 2018

Registered at 4250 ROSWELL RD STE 110, MARIETTA, GA 300628114 (Tel: 7705095585)

📍
Updated Business Mailing Address June 06, 2018

Registered at 3097 MAPLE DR NE APT 544, ATLANTA, GA 303053056

👤
Provider Name / Credentials Updated June 06, 2018

Recorded as STEPHANIE KIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2018

Dentist (License #DN015647 in GA)

🟢
Initial NPI Registration & Enumeration June 06, 2018

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: 1255823175
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 06, 2018
Last Update: June 06, 2018
Sole Proprietor: No

Mailing Address

3097 Maple Dr Ne Apt 544

Atlanta, GA 303053056

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.