Doctor profile · Federal record
Dr. Jonathan Kim, DDS
Dentist · Dentist · Dentist · Snellville, GA
- NPI 1083084404
- 11 yrs on file
- Licensed in 3 states
- Male
- Solo practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1830 Scenic Hwy N Ste 220
Snellville, GA 300782100
(770) 844-9454 - Additional location
-
27289 Willow Leaf RD
Moreno Valley, CA 925554755
(678) 361-6213 - Mailing address
-
4323 Tacoma Trce
Suwanee, GA 300248731
Credentials & registration
- NPI registered
- September 2015 — 11 yrs on file
- Profile last updated
- October 1, 2022
- Specialty taxonomy
- 122300000X — NUCC code
- State licenses (3)
- Georgia #DN122806 · California #65136 · Washington #60793892
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1083084404. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$116
Transactions
4
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Align Technology, Inc. | 4 | $116.12 |
By nature of payment
Frequently asked questions
What is Dr. Jonathan Kim's medical specialty?
Dr. Jonathan Kim practices Dentist in Snellville, GA.
Where does Dr. Jonathan Kim practice?
Dr. Jonathan Kim practices at 1830 Scenic Hwy N Ste 220, Snellville, GA 300782100. Office phone: 7708449454.
What is Dr. Jonathan Kim's NPI?
Dr. Jonathan Kim's National Provider Identifier (NPI) is 1083084404, issued by NPPES.