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

Jungwon Kim, DDS

Individual provider Pediatric Dentistry · NPI 1528378700

Jungwon Kim, DDS is a Pediatric Dentistry in Suwanee, Georgia. Works from 2 locations. Licensed in Georgia and Washington.

Licensed in
GA, WA
In the registry since
2010
Specialties on file
2
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

350 Town Center Ave
Suwanee, GA 30024-6914
Phone: (833) 210-4253
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 16810 Meridian E, Puyallup, WA 98375-9604 — (253) 848-5437

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 12258 (GA)
Pediatric Dentistry Taxonomy 1223P0221X · Licence 60735298 (WA)

Record details

NPI number1528378700
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedOctober 20, 2010
Last updated in NPPESJuly 12, 2021
Certification dateJuly 9, 2021
Mailing address1922 Shenley Park Ln, Duluth, GA 30097-4942

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