SPROUT PEDIATRIC DENTISTRY LLC
NPI 1336889435
Dentist - Pediatric Dentistry in Suwanee, GA

Active since March 29, 2022
3495 PEACHTREE PKWY STE 115, SUWANEE, GA 30024(678) 408-2121(678) 408-2121 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sprout Pediatric Dentistry Llc NPPES

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

SPROUT PEDIATRIC DENTISTRY LLC (NPI 1336889435), doing business as Sprout Pediatric Dentistry, is a healthcare organization registered as a pediatric dentistry in Suwanee, Georgia and active in the NPI registry since March 2022. The organization lists Jee-eun Kim, Owner, as its authorized official.

NPPES Registry Identity

NPI1336889435
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameSPROUT PEDIATRIC DENTISTRY LLC
Location Address3495 PEACHTREE PKWY STE 115Suwanee, GA 30024-9101
Mailing Address3495 Peachtree Pkwy Ste 115Suwanee, GA 30024-9101
Fax(678) 408-2121
Organization SubpartNo
Authorized OfficialJee-eun KimOwner · (678) 408-2121
Enumeration DateMarch 29, 2022
NPPES CertifiedMarch 29, 2022
NPI 1336889435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
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.
3495 PEACHTREE PKWY STE 115, Suwanee, GA 30024

Other Names 1

Doing Business AsSprout Pediatric Dentistry

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

Other Providers at the Same Location NPPES 3

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

Dentist (Orthodontics and Dentofacial Orthopedics)
3495 PEACHTREE PKWY STE 115
SUWANEE, GA 30024
Dentist (Orthodontics and Dentofacial Orthopedics)
3495 PEACHTREE PKWY STE 115
SUWANEE, GA 30024
Dentist (Pediatric Dentistry)
3495 PEACHTREE PKWY STE 115
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 Sprout Pediatric Dentistry LLC's NPI number?

The NPI number for Sprout Pediatric Dentistry LLC is 1336889435. It was assigned to this organization in the NPPES registry on March 29, 2022. The provider is doing business as Sprout Pediatric Dentistry.

Where is Sprout Pediatric Dentistry LLC located?

Sprout Pediatric Dentistry LLC is located at 3495 Peachtree Pkwy Ste 115, Suwanee, GA 30024. The listed phone number is (678) 408-2121.

What is Sprout 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 Sprout Pediatric Dentistry LLC accept?

Health plans from UnitedHealthcare list Sprout 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 Sprout Pediatric Dentistry LLC was last updated on March 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.