Provider Demographics
NPI:1467339440
Name:KATHERINE K. YI, DDS, PC
Entity type:Organization
Organization Name:KATHERINE K. YI, DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:YI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-772-6780
Mailing Address - Street 1:302 SATELLITE BLVD NE STE 216
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-7185
Mailing Address - Country:US
Mailing Address - Phone:678-541-6020
Mailing Address - Fax:678-541-6023
Practice Address - Street 1:302 SATELLITE BLVD NE STE 216
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-7185
Practice Address - Country:US
Practice Address - Phone:678-541-6020
Practice Address - Fax:678-541-6023
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-20
Last Update Date:2025-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental