Provider Demographics
NPI:1114199098
Name:STUART S YOON, DDS, PA
Entity Type:Organization
Organization Name:STUART S YOON, DDS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:S
Authorized Official - Last Name:YOON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:828-670-1966
Mailing Address - Street 1:1396 SAND HILL ROAD
Mailing Address - Street 2:SUITE 4
Mailing Address - City:CANDLER
Mailing Address - State:NC
Mailing Address - Zip Code:28715-8937
Mailing Address - Country:US
Mailing Address - Phone:828-670-1966
Mailing Address - Fax:828-670-1964
Practice Address - Street 1:1396 SAND HILL ROAD
Practice Address - Street 2:SUITE 4
Practice Address - City:CANDLER
Practice Address - State:NC
Practice Address - Zip Code:28715-8937
Practice Address - Country:US
Practice Address - Phone:828-670-1966
Practice Address - Fax:828-670-1964
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-31
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8065122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty