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JUNGWON KIM DDS
NPI 1528378700
Dentist - Pediatric Dentistry in Suwanee, GA

Active since October 20, 2010
350 TOWN CENTER AVE, SUWANEE, GA 30024(833) 210-4253 Get Directions Write a Review

NPPES record last updated: July 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 12, 2021, Jul 11, 2017 (2 updates tracked since 2017).

About Jungwon Kim Dds NPPES

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

JUNGWON KIM DDS (NPI 1528378700) is an individual pediatric dentistry provider in Suwanee, Georgia, licensed in Georgia (12258) and active in the NPI registry since October 2010. She maintains a secondary practice location in Puyallup.

NPPES Registry Identity

NPI1528378700
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameJUNGWON KIMCredential: DDS
Location Address350 TOWN CENTER AVESuwanee, GA 30024-6914
Mailing Address1922 Shenley Park LnDuluth, GA 30097-4942 · (404) 717-9122
Phone(833) 210-4253
Sole ProprietorNo
Enumeration DateOctober 20, 2010
Last NPPES UpdateJuly 12, 20212 updates tracked since enumeration
NPPES CertifiedJuly 9, 2021
✔ NPI 1528378700 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Licenses✔ Licensed in GA · 12258✔ Licensed in WA · 60735298
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.
350 TOWN CENTER AVE, Suwanee, GA 30024
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Secondary Practice Location 1

Location 116810 Meridian EPuyallup, WA 98375-9604 · Phone (253) 848-5437

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Other Providers at the Same Location NPPES 4

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

PRIYA GULATI DDS
Dentist (Pediatric Dentistry)
350 TOWN CENTER AVE, SUITE 301
SUWANEE, GA 30024
Gwinnett County (678) 448-4121
DR. JOSHUA BARUCH LEVENSON DDS
Dentist
350 TOWN CENTER AVE, SUITE 301
SUWANEE, GA 30024
Gwinnett County (678) 835-0793
IMAGIX 3 DENTAL
Dentist
350 TOWN CENTER AVE, 301
SUWANEE, GA 30024
Gwinnett County (678) 835-0793
DR. FARAH S KHAN DMD
Dentist (General Practice)
350 TOWN CENTER AVE, 301
SUWANEE, GA 30024
Gwinnett County (678) 835-0793

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 Jungwon Kim's NPI number?

The NPI number for Jungwon Kim is 1528378700. It was assigned to this individual provider in the NPPES registry on October 20, 2010.

Where is Jungwon Kim located?

Jungwon Kim practices at 350 Town Center Ave, Suwanee, GA 30024. The listed phone number is (833) 210-4253.

What is Jungwon Kim's specialty?

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

What insurance does Jungwon Kim accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 7 other insurers list Jungwon Kim 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 Jungwon Kim was last updated on July 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.