NPI age
15 years
Enumerated 2011-04-20
● Active
Type 1 · Individual
Wan Kim
Kim is 1 of 4 dental assistant providers in Suwanee and 1 of 91 in Georgia.
Primary specialty
Dental Assistant
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2011-04-20
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 91 active dental assistant providers in Georgia.
NPI age
15 years
↑ 6 yr above median (9 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
3% of peers hold subspecialties
NPI lifetime · 2011 → 2026
2011-04Enumerated in NPPES
2011
2026
Where they practice
Practice location
1120 Peachtree Industrial Blvd, #203
Suwanee, GA 300242013
Mailing address
1120 Peachtree Industrial Blvd, #203
Suwanee, GA 300242013
Specialties
-
Dental Assistant PrimaryAn individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient...
Practice context
Part of a multi-provider practice. 10 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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