Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164622635 Individual Practitioner Female Practitioner

Sora Kim

Dentist - General Practice • Stockbridge, GA

Professional Overview & Biography Verified Profile Summary

Sora Kim is a registered healthcare professional specializing in Dentist - General Practice in Stockbridge, GA. Practice services are available at 330 CORPORATE CENTER CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

330 Corporate Center Ct
Ste A

Stockbridge, GA 302816360

Telephone 6782896707
Fax 8508372042
Associated Practice Facility / Clinic
🏢 Stockbridge Dental Group Facility NPI 1528107943

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Stockbridge, GA

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

Practicing in Stockbridge, 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 DN013594

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

6 Associated Practitioners
Martin Boeckh

Dentist - General Practice

NPI 1104030477
Paul Kim

Dentist - General Practice

NPI 1205057098
Sang Hwang

Dentist - General Practice

NPI 1447303318
Sung-Yun Woo

Dentist - General Practice

NPI 1588864052
Robert Pearson

Dentist - Periodontics

NPI 1699810424
Firoz Lalani

Dentist - General Practice

NPI 1740480227

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 23, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 23, 2007

Registered at 330 CORPORATE CENTER CT, STE A, STOCKBRIDGE, GA 302816360 (Tel: 6782896707)

📍
Updated Business Mailing Address July 23, 2007

Registered at 330 CORPORATE CENTER CT, STE A, STOCKBRIDGE, GA 302816360 (Tel: 6782896707)

👤
Provider Name / Credentials Updated July 23, 2007

Recorded as SORA KIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2007

Dentist (License #DN013594 in GA)

🟢
Initial NPI Registration & Enumeration July 23, 2007

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: 1164622635
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 23, 2007
Last Update: July 23, 2007
Sole Proprietor: Yes

Mailing Address

330 Corporate Center Ct, Ste A

Stockbridge, GA 302816360

Phone: 6782896707

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.