Provider Demographics
NPI:1184214090
Name:SEUNG U SHON DMDPC
Entity Type:Organization
Organization Name:SEUNG U SHON DMDPC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SEUNG
Authorized Official - Middle Name:U
Authorized Official - Last Name:SHON
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:201-251-8131
Mailing Address - Street 1:119 1ST ST
Mailing Address - Street 2:
Mailing Address - City:HO HO KUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07423-1575
Mailing Address - Country:US
Mailing Address - Phone:201-251-8131
Mailing Address - Fax:201-251-8043
Practice Address - Street 1:119 1ST ST
Practice Address - Street 2:
Practice Address - City:HO HO KUS
Practice Address - State:NJ
Practice Address - Zip Code:07423-1575
Practice Address - Country:US
Practice Address - Phone:201-251-8131
Practice Address - Fax:201-251-8043
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-25
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty