Provider Demographics
NPI:1114048626
Name:POON, TZEHEI PATRICK (DDS)
Entity Type:Individual
Prefix:DR
First Name:TZEHEI
Middle Name:PATRICK
Last Name:POON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 W 21ST ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-1625
Mailing Address - Country:US
Mailing Address - Phone:347-276-9907
Mailing Address - Fax:
Practice Address - Street 1:653 AVENUE C
Practice Address - Street 2:
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-3848
Practice Address - Country:US
Practice Address - Phone:201-858-2100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI02189700122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist