Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1104062009 Individual Practitioner Male Practitioner

Dr. Richard Jay Kim , DMD

Dentist - General Practice • Atlanta, GA

Professional Overview & Biography Verified Profile Summary

Dr. Richard Kim, DMD is a registered healthcare professional specializing in Dentist - General Practice in Atlanta, GA. Practice services are available at 400 GALLERIA PKWY SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

400 Galleria Pkwy Se
Suite 800

Atlanta, GA 303395980

Telephone 6789045665
Fax 6789045665
Associated Practice Facility / Clinic
🏢 Kool Smiles Ptc Pc Facility NPI 1689877557

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Atlanta, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 28.0 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
383 Specialists

Practicing in Atlanta, 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 VA 0401412329

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

11 Associated Practitioners
Dr. Stephanie Boone , DDS

Dentist - General Practice

NPI 1063740579

Doctor of Dental Surgery

Dr. Sharnn Shepheard , DDS

Dentist - General Practice

NPI 1083713747

Doctor of Dental Surgery

Dr. Bobby Pittman , DDS

Dentist - General Practice

NPI 1154498145

Doctor of Dental Surgery

Dr. Vanessa Parris , DDS

Dentist - General Practice

NPI 1407041742

Doctor of Dental Surgery

NPI 1447565239

BDS, Doctor of Philosophy (Ph.D.)

Dr. Ronique Keane-Dawes , DDS

Dentist - General Practice

NPI 1457688004

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 23, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location December 23, 2008

Registered at 400 GALLERIA PKWY SE, SUITE 800, ATLANTA, GA 303395980 (Tel: 6789045665)

📍
Updated Business Mailing Address December 23, 2008

Registered at 858 CLUB RIDGE TER, CHESTER, VA 238362746 (Tel: 8045300245)

👤
Provider Name / Credentials Updated December 23, 2008

Recorded as RICHARD KIM, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 23, 2008

Dentist (License #0401412329 in VA)

🟢
Initial NPI Registration & Enumeration December 23, 2008

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: 1104062009
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 23, 2008
Last Update: December 23, 2008
Sole Proprietor: Yes

Mailing Address

858 Club Ridge Ter

Chester, VA 238362746

Phone: 8045300245

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.