Susan Kim Dds is a Pediatric Dental Clinic in Kirkland, Washington. It is located at 12910 Totem Lake Blvd Ne Ste 103, Kirkland, WA and its contact number is 425-814-3196. The authorized person for Susan Kim Dds is Dr. Susan S Kim
who is President of the clinic and their contact number is 425-814-3196. The primary license number for Susan Kim Dds is 9731 (Pediatric Dentistry) in Washington.
Susan Kim Dds Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Susan Kim Dds Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Susan Kim Dds |
| Specialization: | Pediatric Dentistry |
| Clinic Address: | 12910 Totem Lake Blvd Ne Ste 103, Kirkland,
Washington, 98034 |
| Phone: | 425-814-3196 |
| Fax: | 425-825-9646 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. Susan S Kim |
| Position: | President |
| Contact Number: | 425-814-3196 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Susan Kim Dds clinic are as mentioned below.
| NPI Number: | 1265495196 |
| NPI Enumeration Date: | 11 Apr, 2006 |
| NPI Last Update On: | 17 Jul, 2018 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Susan Kim Dds are as mentioned below.
| Specialization | License Number | State | Status | |
| Pediatric Dentistry | 9731 | Washington | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 5048368 | Medicaid | Washington | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Susan Kim Dds
12910 Totem Lake Blvd Ne Ste 103,
Kirkland, Washington |
| Zip: | 98034-2901 |
| Phone Number: | 425-814-3196 |
| Fax Number: | 425-825-9646 |
Patients can reach Susan Kim Dds at
12910 Totem Lake Blvd Ne Ste 103, Kirkland, Washington or can
call to book an appointment on 425-814-3196.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.