P Praxis·MD
● Active Type 1 · Individual

Sue Youn Kim

Dentist·Seoul, GA· NPI 1225561137 · Enumerated 2017 · 9 years on NPI
Kim is 1 of 1 dentist providers in Seoul and 1 of 4309 in Georgia.
NPI age
9 years
Enumerated 2017-04-07
Primary specialty
Dentist
Licensed in
MD
1 state
Status
Active
No deactivations on record
Last NPPES update
2017-04-07
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 4309 active dentist providers in Georgia.

NPI age
9 years
↓ 9 yr below median (18 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties

NPI lifetime · 2017 → 2026

2017-04Enumerated in NPPES
2017 2026

Where they practice

Practice location
841 Nonhyeon-Ro, Room #410
Seoul, GA 06031
📞 8225942850fax 82234422855
Mailing address
841 Nonhyeon-Ro, Room #410
Seoul, GA 06031
📞 8225942850fax 82234422855

Specialties

  • Dentist Primary
    A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
    MD license #14993 taxonomy 1223G0001X

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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