Individual
DR. KYUNG SANG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 30912-0001
(706) 721-2371
(706) 721-6778
Mailing address
1430 JOHN WESLEY GILBERT DRIVE, AUGUSTA, GA 30912-0001
(706) 721-2371
(706) 721-6778
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
20536
MA
1223P0700X
Prosthodontics
0401419634
VA
1223P0700X
Prosthodontics
DDS112449
CA
1223P0700X
Prosthodontics
Primary
DN123951
GA
1223P0700X
Prosthodontics
DN20536
MA
Other
Enumeration date
05/04/2006
Last updated
06/22/2026
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