WAN KIM
NPI 1285925669
Dental Assistant in Suwanee, GA

Active since April 20, 2011
1120 PEACHTREE INDUSTRIAL BLVD, #203, SUWANEE, GA 30024(770) 904-7005 Get Directions Write a Review

NPPES record last updated: April 20, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Wan Kim NPPES

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

WAN KIM (NPI 1285925669) is an individual dental assistant in Suwanee, Georgia and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1285925669
Entity TypeIndividualMale
Primary Taxonomy126800000X
Provider Legal NameWAN KIM
Location Address1120 PEACHTREE INDUSTRIAL BLVD, #203Suwanee, GA 30024-2013
Mailing Address1120 Peachtree Industrial Blvd, #203Suwanee, GA 30024-2013 · (770) 904-7005
Sole ProprietorYes
Enumeration DateApril 20, 2011
NPI 1285925669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDental AssistantDental Providers
Taxonomy Code126800000X
Definition

An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.

1120 PEACHTREE INDUSTRIAL BLVD, Suwanee, GA 30024

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.

Dentist (Endodontics)
1120 PEACHTREE INDUSTRIAL BLVD, SUITE 205
SUWANEE, GA 30024
Dentist (Pediatric Dentistry)
1120 PEACHTREE INDUSTRIAL BLVD, SUITE 203 AND 204
SUWANEE, GA 30024
Dentist (Endodontics)
1120 PEACHTREE INDUSTRIAL BLVD, SUITE 205
SUWANEE, GA 30024
Dental Assistant
1120 PEACHTREE INDUSTRIAL BLVD, STE. 203
SUWANEE, GA 30024
Ophthalmology
1120 PEACHTREE INDUSTRIAL BLVD, STE 101
SUWANEE, GA 30024
Clinic/Center (Urgent Care)
1120 PEACHTREE INDUSTRIAL BLVD, 201
SUWANEE, GA 30024
Optometrist
1120 PEACHTREE INDUSTRIAL BLVD, STE 101
SUWANEE, GA 30024
Physician Assistant
1120 PEACHTREE INDUSTRIAL BLVD
SUWANEE, GA 30024

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 Wan Kim's NPI number?

The NPI number for Wan Kim is 1285925669. It was assigned to this individual provider in the NPPES registry on April 20, 2011.

Where is Wan Kim located?

Wan Kim practices at 1120 Peachtree Industrial Blvd #203, Suwanee, GA 30024. The listed phone number is (770) 904-7005.

What is Wan Kim's specialty?

The primary specialty registered for this NPI is Dental Assistant with taxonomy code 126800000X.

When was this NPI record last updated?

The NPPES record for Wan Kim was last updated on April 20, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.