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

DR. SUSUN THERESA KIM, DMD

Active

DR. SUSUN THERESA KIM, DMD is a Pediatric Dentistry healthcare provider located in NELLIS AFB, Nevada. NPI 1386165736 is currently active in the NPPES registry. Verify at CMS.

Pediatric Dentistry · NELLIS AFB, NV

Registration Details

NPI Number
1386165736
Provider Type
Individual
Gender
Female
NPI Issued
Jul 6, 2017 (9.0727782597442 yrs)
Last Updated
Jul 9, 2025
License
22DI02757700 (NJ)

Practice Information

Address
4700 LAS VEGAS BLVD N
NELLIS AFB, NV, 891916600
Browse NV providers · Browse ZIP 89191
Phone
7026532273
Primary Specialty
Pediatric Dentistry
1223P0700X

Other Pediatric Dentistry Providers in NELLIS AFB, NV

Name Credential NPI
DR. JOHN A THOMAS D.D.S., M.S. 1386639607
STEPHANIE A STOUDER D.D.S. 1669584942
FRANCISCO F. GALLARDO JR. DDS, MS 1013252725
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.