Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jason Kim

Individual provider General Practice Dentistry · NPI 1396962700

Jason Kim is a General Practice Dentistry in Atlanta, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2007

Practice location Address checks out

1720 Old Spring House Ln Ste 315
Atlanta, GA 30338-6215
Phone: (770) 451-7041
Fax: (770) 451-4886
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 013467 (GA)

Record details

NPI number1396962700
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 19, 2007
Last updated in NPPESJuly 8, 2007

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