Individual
DR. TIMOTHY P KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
100 GATES ENTRY STE A, PEACHTREE CITY, GA 30269-4417
(770) 460-1527
Mailing address
100 GATES ENTRY STE A, PEACHTREE CITY, GA 30269-4417
(770) 487-7757
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN015412
GA
122300000X
Dentist
FK4423199
GA
1223E0200X
Endodontics
Primary
DN015412
GA
1223G0001X
General Practice Dentistry
DN015412
GA
Other
Enumeration date
05/11/2017
Last updated
06/30/2026
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