Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1841430642 Individual Practitioner Female Practitioner

Dr. Mi Lee Kim , DDS

Dentist - General Practice • Stone Mountain, GA

Professional Overview & Biography Verified Profile Summary

Dr. Mi Lee Kim, DDS is a registered healthcare professional specializing in Dentist - General Practice in Stone Mountain, GA. Practice services are available at 6267 MEMORIAL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6267 Memorial Dr

Stone Mountain, GA 300832856

Telephone 6788264772

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Stone Mountain, GA

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

Practicing in Stone Mountain, 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 CO 9793

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 DN014864

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active September 09, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location September 09, 2014

Registered at 6267 MEMORIAL DR, STONE MOUNTAIN, GA 300832856 (Tel: 6788264772)

📍
Updated Business Mailing Address September 09, 2014

Registered at 6025 FARRELL WAY, JOHNS CREEK, GA 300978486 (Tel: 7202730580)

👤
Provider Name / Credentials Updated September 09, 2014

Recorded as MI LEE KIM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 09, 2014

Dentist (License #9793 in CO)

🟢
Initial NPI Registration & Enumeration March 06, 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: 1841430642
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 06, 2009
Last Update: September 09, 2014
Sole Proprietor: No

Mailing Address

6025 Farrell Way

Johns Creek, GA 300978486

Phone: 7202730580

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.