Provider Demographics
NPI:1154684686
Name:YOON, JEANNIE S (DDS)
Entity Type:Individual
Prefix:DR
First Name:JEANNIE
Middle Name:S
Last Name:YOON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 BISHOP RD
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:NH
Mailing Address - Zip Code:03220-3110
Mailing Address - Country:US
Mailing Address - Phone:036-524-3444
Mailing Address - Fax:
Practice Address - Street 1:14 BISHOP RD
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:NH
Practice Address - Zip Code:03220-3110
Practice Address - Country:US
Practice Address - Phone:603-556-7047
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-19
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH047671223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice