John Kim, DMD
NPI 1083978266 · General Practice Dentistry · Fayetteville, GA
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
John Kim, DMD is a General Practice Dentistry provider in Fayetteville, GA (NPI 1083978266).
Provider details
- NPI number
- 1083978266
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- No
- License
- DN19740 (FL)
Specialties & taxonomies
Dental Providers
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-07-02
- Last updated
- 2021-12-29
- Certified
- 2021-12-29
Frequently asked questions
- What is John Kim's NPI number?
- John Kim's National Provider Identifier (NPI) is 1083978266, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Kim's specialty?
- John Kim is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is John Kim located?
- John Kim's practice location on file with NPPES is 1135 Highway 85 N Ste a, Fayetteville, GA 30214-2085.
- What is John Kim's phone number?
- The practice phone number listed in the NPPES registry for John Kim is (407) 587-9665.
- Does John Kim accept Medicare?
- John Kim is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is John Kim's NPI active?
- Yes — John Kim's NPI (1083978266) is active in the NPPES registry as of the last update on 2021-12-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.