Organization
SUSAN KIM DDS
Active
Other names
Evergreen Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN S KIM DDS (PRESIDENT)
(425) 814-3196
Entity
Organization
Contact information
Practice address
12910 TOTEM LAKE BLVD NE STE 103, KIRKLAND, WA 98034
(425) 814-3196
(425) 825-9646
Mailing address
12910 TOTEM LAKE BLVD NE STE 103, KIRKLAND, WA 98034-2901
(425) 814-3196
(425) 825-9646
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
9731
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5048368
—
WA
Enumeration date
04/11/2006
Last updated
07/17/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up