Provider Demographics
NPI:1043665771
Name:HEEJOO PYON, DDS, P.C.
Entity Type:Organization
Organization Name:HEEJOO PYON, DDS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HEEJOO
Authorized Official - Middle Name:
Authorized Official - Last Name:PYON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:212-265-9800
Mailing Address - Street 1:30 E 60TH ST STE 702
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-7110
Mailing Address - Country:US
Mailing Address - Phone:212-265-9800
Mailing Address - Fax:646-787-9396
Practice Address - Street 1:30 E 60TH ST STE 702
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-7110
Practice Address - Country:US
Practice Address - Phone:212-265-9800
Practice Address - Fax:646-787-9396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-02
Last Update Date:2016-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY054920122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty