Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1881112035 Individual Practitioner Male Practitioner

Dr. Min Tae Kim , DDS

Dentist - General Practice • Suwanee, GA

Professional Overview & Biography Verified Profile Summary

Dr. Min Tae Kim, DDS is a registered healthcare professional specializing in Dentist - General Practice in Suwanee, GA. Practice services are available at 1045 OLD PEACHTREE RD NW APT 2210 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1045 Old Peachtree Rd Nw Apt 2210

Suwanee, GA 300245066

Telephone 2242342460

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Suwanee, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
43 Specialists

Practicing in Suwanee, GA (3302 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

CMS Verified: 2024-06-18
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License IL 019031328

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.

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location June 18, 2024

Registered at 1045 OLD PEACHTREE RD NW APT 2210, SUWANEE, GA 300245066 (Tel: 2242342460)

📍
Updated Business Mailing Address June 18, 2024

Registered at 1045 OLD PEACHTREE RD NW APT 2210, SUWANEE, GA 300245066 (Tel: 2242342460)

NPI Profile Active September 07, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 07, 2017

Registered at 2316 W MADISON ST, CHICAGO, IL 606122228 (Tel: 3124910601)

📍
Updated Business Mailing Address September 07, 2017

Registered at 1611 W DIVISION ST APT 1009, CHICAGO, IL 606221202 (Tel: 2242342460)

👤
Provider Name / Credentials Updated September 07, 2017

Recorded as MIN TAE KIM, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 07, 2017

Dentist (License #019031328 in IL)

🟢
Initial NPI Registration & Enumeration September 07, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Min Tae Kim. Be the first to share your experience!

Sign in to leave a review for Dr. Min Tae Kim

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1881112035
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 07, 2017
Last Update: June 18, 2024
Sole Proprietor: Yes

Mailing Address

1045 Old Peachtree Rd Nw Apt 2210

Suwanee, GA 300245066

Phone: 2242342460

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.