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Jinah Kim

Dentist - General Practice β€’ Lagrange, GA

Active NPI 1821821943 Individual Practitioner Female Practitioner
Practice location in NPPES

105 Parker Dr # A
Lagrange, GA 302406436

Call 7068843636 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

105 Parker Dr # A

Lagrange, GA 302406436

Telephone 7068843636

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Lagrange and Georgia

24 active clinicians are listed under Dentist - General Practice with a practice address in Lagrange, GA (3,148 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lagrange

0% of these 24 clinicians have the CMS telehealth indicator.

0% of these 24 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-07-15
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES AL D.007456-C1

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Dentist - Endodontics

NUCC Taxonomy Code: 1223E0200X

License # reported to NPPES GA DN124259

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Dr. David Fagundes , DMD

Dentist - Endodontics

NPI 1184701815

Doctor of Dental Medicine

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location July 15, 2026

Registered at 105 PARKER DR # A, LAGRANGE, GA 302406436 (Tel: 7068843636)

πŸ“
Updated Business Mailing Address July 15, 2026

Registered at 105 PARKER DR, LAGRANGE, GA 302406436 (Tel: 7068843636)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 26, 2025

Dentist (license number reported to NPPES: AL D.007456-C1)

βœ…
NPI Profile Active August 23, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 23, 2024

Registered at 1919 7TH AVE S # SDB538, BIRMINGHAM, AL 352332005 (Tel: 2059344122)

πŸ“
Business Mailing Address (Initial Record) August 23, 2024

Registered at 1919 7TH AVENUE SOUTH SDB 538, BIRMINGHAM, AL 352940007 (Tel: 2059345045)

πŸ‘€
Provider Name / Credentials (Initial Record) August 23, 2024

Recorded as JINAH KIM

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2024

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration August 23, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1821821943
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 23, 2024
Last Update: July 15, 2026
Sole Proprietor: No

Other Dentist - General Practices in Lagrange

All Dentist - General Practices in Lagrange

Mailing Address

105 Parker Dr

Lagrange, GA 302406436

Phone: 7068843636

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.