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

Mustard Seed Pediatric Dentistry, LLC

Organization Pediatric Dentistry · NPI 1093048563

Mustard Seed Pediatric Dentistry, LLC provides Pediatric Dentistry in Suwanee, Georgia. Licensed in Georgia. Registered with an NPI since 2009.

Licensed in
GA
In the registry since
2009
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1120 Peachtree Industrial Blvd Ste 203 And 204
Suwanee, GA 30024-2013 Not confirmed with CMS for 17 years — call before visiting
Phone: (770) 904-7005
Fax: (770) 904-7075
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence DN013415 (GA)

Record details

NPI number1093048563
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yoo Mee Kim — Dentist/Owner · (770) 904-7005
NPI enumeratedSeptember 15, 2009
Last updated in NPPESSeptember 15, 2009
Mailing address1120 Peachtree Industrial Blvd, Suite 203 And 204, Suwanee, GA 30024-2013

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