MEDICARE: SUNNY E. KIM DDS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1699623678
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SUNNY E. KIM DDS PLLC

Provider Business Mailing Address
First Line	:	3333 WALLINGFORD AVE N STE C4
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-9001
Country	:	US
Telephone Number	:	206-634-2022
Fax Number	:	206-634-9460

Provider Business Practice Location Address
First Line	:	3333 WALLINGFORD AVE N STE C4
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-9001
Country	:	US
Telephone Number	:	206-634-2022
Fax Number	:	206-634-9460

Authorized Official
Title or Position	:	OWNER
Name	:	SUNNY KIM
Credential	:	DDS
Telephone Number	:	206-634-2022

Provider Enumeration Date	:	03/17/2026
Last Update Date	:	03/17/2026

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