NPI age
19 years
Enumerated 2006-10-12
● Active
Type 1 · Individual
Susan J Kim, DDS
Kim is 1 of 90 dentist providers in Allen and 1 of 15661 in Texas.
Primary specialty
Dentist
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 15661 active dentist providers in Texas.
NPI age
19 years
↑ 5 yr above median (14 yr)
State licenses
1 state
5% of peers hold multiple states
Subspecialties
0
13% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-10Enumerated in NPPES
2006
2026
Where they practice
Practice location
1212 W McDermott Dr, Suite 300
Allen, TX 750136387
Mailing address
1212 W McDermott Dr, Suite 300
Allen, TX 750136387
Specialties
-
Dentist PrimaryA 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.
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 20132 | TX STATE DENTAL LICENSE |
| 01 | 7706223384 | FEDERAL TAX ID NUMBER |
Practice context
Solo or small practice. No 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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