IndividualActive
Jin Kim
NPI 1104619360 · Dentist · Conyers, GA
Jin Kim is a Dentist provider in Conyers, GA (NPI 1104619360).
Provider details
- NPI number
- 1104619360
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- D123926 (GA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
1450 Highway 138 Se
Conyers, GA 30013-1285
Phone: (678) 521-9727
Street-level locationGet directions
Mailing address
8510 Saint Marlo Fairway Dr
Duluth, GA 30097-6602
Registry dates
- Enumerated
- 2025-05-28
- Last updated
- 2025-08-11
- Certified
- 2025-08-11
Frequently asked questions
- What is Jin Kim's NPI number?
- Jin Kim's National Provider Identifier (NPI) is 1104619360, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jin Kim's specialty?
- Jin Kim is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Jin Kim located?
- Jin Kim's practice location on file with NPPES is 1450 Highway 138 Se, Conyers, GA 30013-1285.
- What is Jin Kim's phone number?
- The practice phone number listed in the NPPES registry for Jin Kim is (678) 521-9727.
- Is Jin Kim's NPI active?
- Yes — Jin Kim's NPI (1104619360) is active in the NPPES registry as of the last update on 2025-08-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.