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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. SUNG-OH KIM, DMD

Active Sole Proprietor

DR. SUNG-OH KIM, DMD is a Pediatric Dentistry healthcare provider located in SUWANEE, Georgia. NPI 1053578369 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · SUWANEE, GA

Registration Details

NPI Number
1053578369
Provider Type
Individual
Gender
Female
NPI Issued
May 22, 2008 (18.25476509206 yrs)
Last Updated
Jul 26, 2021
Licenses
5404 (AL)
DN013623 (GA)
DN013623 (GA)
Sole Proprietor
Yes

Practice Information

Address
3651 PEACHTREE PKWY STE L
SUWANEE, GA, 300241089
Browse GA providers · Browse ZIP 30024
Phone
7706222231
Primary Specialty
Pediatric Dentistry
1223P0700X
Additional Specialty
Dentist
Additional Specialty
Pediatric Dentistry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.