MUSTARD SEED PEDIATRIC DENTISTRY, LLC
NPI 1093048563
Dentist - Pediatric Dentistry in Suwanee, GA
NPI Status: Active since September 15, 2009
Contact Information
1120 PEACHTREE INDUSTRIAL BLVD
SUITE 203 AND 204
SUWANEE, GA
ZIP 30024
Phone: (770) 904-7005
Fax: (770) 904-7075
- Organization
- Dentist
- Pediatric Dentistry
- Accepts Insurance
About MUSTARD SEED PEDIATRIC DENTISTRY, LLC
This page provides the complete NPI Profile along with additional information for Mustard Seed Pediatric Dentistry, Llc, a provider established in Suwanee, Georgia operating as a Dentist, focusing in pediatric dentistry . The healthcare provider is registered in the NPI registry with number 1093048563 assigned on September 2009. The practitioner's primary taxonomy code is 1223P0221X with license number DN013415 (GA). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Yoo Mee Kim Dds (Dentist/owner)
- NPI
- 1093048563
- Provider Name
- MUSTARD SEED PEDIATRIC DENTISTRY, LLC
- Entity Type
- Organization
- Location Address
- 1120 PEACHTREE INDUSTRIAL BLVD SUITE 203 AND 204 SUWANEE, GA 30024
- Location Phone
- (770) 904-7005
- Location Fax
- (770) 904-7075
- Mailing Address
- 1120 PEACHTREE INDUSTRIAL BLVD SUITE 203 AND 204 SUWANEE, GA 30024
- Mailing Phone
- (770) 904-7005
- Mailing Fax
- (770) 904-7075
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-15-2009
- Last Update Date
- 09-15-2009
- Code Navigator
A dentist like Mustard Seed Pediatric Dentistry, Llc is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Pediatric Dentistry
- Taxonomy Code
- 1223P0221X
- Type
- Dental Providers
- License No.
- DN013415
- License State
- GA
- Taxonomy Description
- An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Clear Silver - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options - HMO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Clear Silver with $0 Insulin Options - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Gold with Atrium Health - HMO
- Complete Gold with Atrium Health + Vision + Adult Dental - HMO
- Complete Silver with Atrium Health - HMO
- Complete Silver with Atrium Health + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Bronze with Atrium Health - HMO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Smile Now Arizona - No Waiting Period PPO - PPO
- Smile Now Illinois - No Waiting Period PPO - PPO
- Smile Now Michigan - No Waiting Period PPO - PPO
- Smile Now Ohio - No Waiting Period PPO - PPO
- Smile Now Tennessee - No Waiting Period PPO - PPO
- Smile Now Texas- No Waiting Period Plan - PPO
- Smile Now Utah - No Waiting Period PPO - PPO
- Standard Expanded Bronze WellCare - PPO
- Standard Gold WellCare - PPO
- Standard Silver WellCare - PPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1255479689 | OTHER (01) | GA | INDIVIDUAL NPI # |
Reviews for MUSTARD SEED PEDIATRIC DENTISTRY, LLC
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 9 | 3 | 0 | 4 | 8 | 5 | 6 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 18 | 3 | 0 | 4 | 16 | 5 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 8 + 3 + 0 + 4 + 1 + 6 + 5 + 1 + 2 + 24 = 57 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 57 = 3 | 3 | ||||||||
The NPI number 1093048563 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 10 providers are registered at the same or nearby location.
DR. DARLENE MARIE DAVIS DDS
Dentist
(Endodontics)
1120 PEACHTREE INDUSTRIAL BLVD
SUITE 205
SUWANEE, GA
ZIP 30024
SOFT TOUCH ENDODONTICS, PC
Dentist
(Endodontics)
1120 PEACHTREE INDUSTRIAL BLVD
SUITE 205
SUWANEE, GA
ZIP 30024
TURKESSA LASHELLE WILLIAMS
Dental Assistant
1120 PEACHTREE INDUSTRIAL BLVD
STE. 203
SUWANEE, GA
ZIP 30024
WAN KIM
Dental Assistant
1120 PEACHTREE INDUSTRIAL BLVD
#203
SUWANEE, GA
ZIP 30024
THOMAS EYE GROUP PC
Ophthalmology
1120 PEACHTREE INDUSTRIAL BLVD
STE 101
SUWANEE, GA
ZIP 30024
PEACHTREE PEDIATRIC URGENT CARE, LLC
Clinic/Center
(Urgent Care)
1120 PEACHTREE INDUSTRIAL BLVD
201
SUWANEE, GA
ZIP 30024
DR. GLENDA B BROWN OD
Optometrist
1120 PEACHTREE INDUSTRIAL BLVD
STE 101
SUWANEE, GA
ZIP 30024
SHANAE MASON PA-C
Physician Assistant
1120 PEACHTREE INDUSTRIAL BLVD
SUWANEE, GA
ZIP 30024
DR. SONALI GANGULY MD
Internal Medicine
(Endocrinology, Diabetes & Metabolism)
1120 PEACHTREE INDUSTRIAL BLVD
SUWANEE, GA
ZIP 30024
ROBERT LAWRENCE RICHARD MD
Surgery
1120 PEACHTREE INDUSTRIAL BLVD
SUWANEE, GA
ZIP 30024
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093048563, enumerated as an "organization" on September 15, 2009.
The provider is located at 1120 PEACHTREE INDUSTRIAL BLVD SUITE 203 AND 204 SUWANEE, GA 30024 and the phone number is (770) 904-7005.
Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.
The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to verify.
