Provider Demographics
NPI:1003836321
Name:WON, JOHN SUNGHOON (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:SUNGHOON
Last Name:WON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8851 ELLSTREE LN
Mailing Address - Street 2:SUITE 116
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27617
Mailing Address - Country:US
Mailing Address - Phone:919-293-0299
Mailing Address - Fax:919-293-0545
Practice Address - Street 1:8851 ELLSTREE LN STE 116
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27617-2046
Practice Address - Country:US
Practice Address - Phone:919-293-0299
Practice Address - Fax:919-293-0545
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2006-019441223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery