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MUSTARD SEED PEDIATRIC DENTISTRY, LLC
NPI 1093048563
Dentist - Pediatric Dentistry in Suwanee, GA

Active since September 15, 2009
1120 PEACHTREE INDUSTRIAL BLVD, SUITE 203 AND 204, SUWANEE, GA 30024(770) 904-7005(770) 904-7075 Get Directions Write a Review

NPPES record last updated: September 15, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mustard Seed Pediatric Dentistry, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MUSTARD SEED PEDIATRIC DENTISTRY, LLC (NPI 1093048563) is a healthcare organization registered as a pediatric dentistry in Suwanee, Georgia and active in the NPI registry since September 2009. The organization lists Yoo Mee Kim, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1093048563
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameMUSTARD SEED PEDIATRIC DENTISTRY, LLC
Location Address1120 PEACHTREE INDUSTRIAL BLVD, SUITE 203 AND 204Suwanee, GA 30024-2013
Mailing Address1120 Peachtree Industrial Blvd, Suite 203 And 204Suwanee, GA 30024-2013 · (770) 904-7005 · Fax (770) 904-7075
Phone(770) 904-7005
Fax(770) 904-7075
Organization SubpartNo
Authorized OfficialYoo Mee KimDentist/owner · (770) 904-7005
Enumeration DateSeptember 15, 2009
✔ NPI 1093048563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in GA · DN013415
Definition

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.

1120 PEACHTREE INDUSTRIAL BLVD, Suwanee, GA 30024
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Other Identifiers 1

Other1255479689GA · Individual Npi #

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DARLENE MARIE DAVIS DDS
Dentist (Endodontics)
1120 PEACHTREE INDUSTRIAL BLVD, SUITE 205
SUWANEE, GA 30024
Gwinnett County (770) 831-7644
SOFT TOUCH ENDODONTICS, PC
Dentist (Endodontics)
1120 PEACHTREE INDUSTRIAL BLVD, SUITE 205
SUWANEE, GA 30024
Gwinnett County (770) 831-7644
TURKESSA LASHELLE WILLIAMS
Dental Assistant
1120 PEACHTREE INDUSTRIAL BLVD, STE. 203
SUWANEE, GA 30024
Gwinnett County (770) 904-7005
WAN KIM
Dental Assistant
1120 PEACHTREE INDUSTRIAL BLVD, #203
SUWANEE, GA 30024
Gwinnett County (770) 904-7005
THOMAS EYE GROUP PC
Ophthalmology
1120 PEACHTREE INDUSTRIAL BLVD, STE 101
SUWANEE, GA 30024
Gwinnett County (678) 892-2020
PEACHTREE PEDIATRIC URGENT CARE, LLC
Clinic/Center (Urgent Care)
1120 PEACHTREE INDUSTRIAL BLVD, 201
SUWANEE, GA 30024
Gwinnett County (404) 427-6233
DR. GLENDA B BROWN OD
Optometrist
1120 PEACHTREE INDUSTRIAL BLVD, STE 101
SUWANEE, GA 30024
Gwinnett County (770) 809-3366
SHANAE MASON PA-C
Physician Assistant
1120 PEACHTREE INDUSTRIAL BLVD
SUWANEE, GA 30024
Gwinnett County (470) 326-5560

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mustard Seed Pediatric Dentistry, LLC's NPI number?

The NPI number for Mustard Seed Pediatric Dentistry, LLC is 1093048563. It was assigned to this organization in the NPPES registry on September 15, 2009.

Where is Mustard Seed Pediatric Dentistry, LLC located?

Mustard Seed Pediatric Dentistry, LLC is located at 1120 Peachtree Industrial Blvd Suite 203 And 204, Suwanee, GA 30024. The listed phone number is (770) 904-7005.

What is Mustard Seed Pediatric Dentistry, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Mustard Seed Pediatric Dentistry, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 1 other insurer list Mustard Seed Pediatric Dentistry, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mustard Seed Pediatric Dentistry, LLC was last updated on September 15, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.