P Praxis·MD
● Active Type 1 · Individual

DR. Sung-Oh Kim, DMD

Dentist·Suwanee, GA· NPI 1053578369 · Enumerated 2008 · 18 years on NPI
Kim is 1 of 1 dentist providers in Suwanee and 1 of 113 in Georgia.
NPI age
18 years
Enumerated 2008-05-22
Primary specialty
Dentist
Plus 2 subspecialties
Licensed in
GA, AL
2 states
Status
Active
No deactivations on record
Last NPPES update
2021-07-26
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 113 active dentist providers in Georgia.

NPI age
18 years
≈ at median (19 yr)
State licenses
2 states
Top 83% — 16% of peers are multi-state
Subspecialties
1
In the 40% of peers with subspecialties

NPI lifetime · 2008 → 2026

2008-05Enumerated in NPPES
2008 2026

Where they practice

Practice location
3651 Peachtree Pkwy Ste L
Suwanee, GA 300241089
📞 7706222231
Mailing address
3651 Peachtree Pkwy Ste L
Suwanee, GA 300241089
📞 7706222231fax 7702551615

Specialties

  • Dentist Primary
    That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and...
    GA license #DN013623 taxonomy 1223P0700X
  • Dentist
    A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two...
    AL license #5404GA license #DN013623 taxonomy 122300000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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