NPI age
16 years
Enumerated 2009-09-15
● Active Type 2 · Organization
Mustard Seed Pediatric Dentistry, Llc
Mustard Seed Pediatric Dentistry, Llc is 1 of 539 dentist organizations in Georgia.
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Kim
Dentist/owner
Last NPPES update
2009-09-15
Source: monthly bulk 2026-05
How this organization compares
Across 539 active dentist providers in Georgia.
NPI age
16 years
≈ at median (16 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2009 → 2026
2009-09Enumerated in NPPES
2009
2026
Where they practice
Primary practice location
1120 Peachtree Industrial Blvd, Suite 203 And 204
Suwanee, GA 300242013
Mailing address
1120 Peachtree Industrial Blvd, Suite 203 And 204
Suwanee, GA 300242013
Authorized official
Yoo Mee Kim, DDS
Dentist/owner
📞 7709047005
Individual providers at this organization
7 individual providers on file at this primary practice address.
- Glenda Brown, OD Optometrist NPI 1790897494
- Darlene Davis, DDS Dentist NPI 1538379862
- Sonali Ganguly, MD Internal Medicine NPI 1215666862
- Wan Kim Dental Assistant NPI 1285925669
- Shanae Mason, PA-C Physician Assistant NPI 1922557537
- Robert Richard, MD Surgery NPI 1114938172
- Turkessa Williams Dental Assistant NPI 1659662039
Specialties
-
Dentist PrimaryAn 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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (GA) | 1255479689 | INDIVIDUAL NPI # |
Practice context
Multi-provider organization. 7 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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