Provider Demographics
NPI:1184839748
Name:SANG YUN RO, DDS, PC
Entity Type:Organization
Organization Name:SANG YUN RO, DDS, PC
Other - Org Name:APEX ENDODONTICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SANG
Authorized Official - Middle Name:YUN
Authorized Official - Last Name:RO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:201-750-7857
Mailing Address - Street 1:1 DEWOLF RD
Mailing Address - Street 2:SUITE 207
Mailing Address - City:OLD TAPPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07675-7015
Mailing Address - Country:US
Mailing Address - Phone:201-750-7857
Mailing Address - Fax:201-750-9070
Practice Address - Street 1:1 DEWOLF RD
Practice Address - Street 2:SUITE 207
Practice Address - City:OLD TAPPAN
Practice Address - State:NJ
Practice Address - Zip Code:07675-7015
Practice Address - Country:US
Practice Address - Phone:201-750-7857
Practice Address - Fax:201-750-9070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI021098001223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Single Specialty