Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1265867014 Individual Practitioner Female Practitioner

Dr. Joo-Won Kim , DDS

Dentist - General Practice • Tucker, GA

Professional Overview & Biography Verified Profile Summary

Dr. Joo-Won Kim, DDS is a registered healthcare professional specializing in Dentist - General Practice in Tucker, GA. Practice services are available at 4500 HUGH HOWELL RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4500 Hugh Howell Rd
Suite 140

Tucker, GA 300844723

Telephone 7709389090
Associated Practice Facility / Clinic
🏢 Sai Medical Clinic,p.c Facility NPI 1518086081

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Tucker, GA

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

Practicing in Tucker, 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 DN014661

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

10 Associated Practitioners
Cathryn Parkman , LICENSE NURSE

Licensed Practical Nurse

NPI 1073766218

LICENSENURSE

Dr. Bruce Preston , DMD

Dentist - General Practice

NPI 1164574893

Doctor of Dental Medicine

Dr. Denella Ausborn , PsyD

Psychologist - Clinical

NPI 1174676563

Doctor of Psychology (Psy.D.)

Deirdre Bonaparte , MA, CCC-SLP

Speech-Language Pathologist

NPI 1316389679

Master of Arts, Speech-Language Pathologist (Certificate of Clinical Competence)

Dr. Willie Ausborn , PsyD

Psychologist - Clinical

NPI 1366596025

Doctor of Psychology (Psy.D.)

Dr. Lee Wilkes , MD

Internal Medicine

NPI 1568441871

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 04, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location February 04, 2014

Registered at 4500 HUGH HOWELL RD, SUITE 140, TUCKER, GA 300844723 (Tel: 7709389090)

📍
Updated Business Mailing Address February 04, 2014

Registered at 4500 HUGH HOWELL RD, SUITE 140, TUCKER, GA 300844723 (Tel: 7709389090)

👤
Provider Name / Credentials Updated February 04, 2014

Recorded as JOO-WON KIM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2014

Dentist (License #DN014661 in GA)

🟢
Initial NPI Registration & Enumeration September 12, 2013

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: 1265867014
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 12, 2013
Last Update: February 04, 2014
Sole Proprietor: No

Mailing Address

4500 Hugh Howell Rd, Suite 140

Tucker, GA 300844723

Phone: 7709389090

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.