Joseph Kim, DDS, DC is a medicare enrolled "Dentist - General Practice" provider in Duluth, Georgia. His current practice location is
2005 Boggs Rd Ste 104, Duluth, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 497-0882.
Joseph Kim is licensed to practice in Georgia (license number DN013766) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1821246729.
Healthcare Provider's Profile
Full Name | Joseph Kim |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 2005 Boggs Rd Ste 104, Duluth, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1821246729
- Provider Enumeration Date: 09/04/2008
- Last Update Date: 01/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 0042581860
- Enrollment ID: I20180424002393
Medical Identifiers
Medical identifiers for Joseph Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821246729 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | CHIR005434 (Georgia) | Secondary |
1223G0001X | Dentist - General Practice | DN013766 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Joseph Kim is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Joseph Kim, DDS, DC 2005 Boggs Rd Ste 104, Duluth, GA 30096-4602 Ph: (770) 497-0885 | Joseph Kim, DDS, DC 2005 Boggs Rd Ste 104, Duluth, GA 30096-4602 Ph: (770) 497-0882 |
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