Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Susan Kim DDS

Organization Pediatric Dentistry · NPI 1265495196

Susan Kim DDS is a Pediatric Dentistry in Kirkland, Washington. Licensed in Washington. Registered with an NPI since 2006.

Licensed in
WA
In the registry since
2006

Practice location Address checks out

12910 Totem Lake Blvd NE Ste 103
Kirkland, WA 98034
Phone: (425) 814-3196
Fax: (425) 825-9646
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 9731 (WA)

Record details

NPI number1265495196
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Susan Kim — President · (425) 814-3196
Other names Evergreen Pediatric Dentistry; Evergreen Pediatric Dentistry
NPI enumeratedApril 11, 2006
Last updated in NPPESJuly 17, 2018
Mailing address12910 Totem Lake Blvd Ne Ste 103, Kirkland, WA 98034-2901

Other providers in Kirkland