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Active NPI 1285925669 Individual Practitioner Male Practitioner

Wan Kim

Dental Assistant • Suwanee, GA

Professional Overview & Biography Verified Profile Summary

Wan Kim is a registered healthcare professional specializing in Dental Assistant in Suwanee, GA. Practice services are available at 1120 PEACHTREE INDUSTRIAL BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1120 Peachtree Industrial Blvd
#203

Suwanee, GA 300242013

Telephone 7709047005
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dental Assistant in Suwanee, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
4 Specialists

Practicing in Suwanee, GA (93 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dental Assistant Primary Specialty

NUCC Taxonomy Code: 126800000X

An 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 care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Turkessa Williams

Dental Assistant

NPI 1659662039

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 20, 2011

NPI status registered as active in NPPES database

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Updated Practice Location April 20, 2011

Registered at 1120 PEACHTREE INDUSTRIAL BLVD, #203, SUWANEE, GA 300242013 (Tel: 7709047005)

📍
Updated Business Mailing Address April 20, 2011

Registered at 1120 PEACHTREE INDUSTRIAL BLVD, #203, SUWANEE, GA 300242013 (Tel: 7709047005)

👤
Provider Name / Credentials Updated April 20, 2011

Recorded as WAN KIM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2011

Dental Assistant

🟢
Initial NPI Registration & Enumeration April 20, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1285925669
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 20, 2011
Last Update: April 20, 2011
Sole Proprietor: Yes

Mailing Address

1120 Peachtree Industrial Blvd, #203

Suwanee, GA 300242013

Phone: 7709047005

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.