Provider Demographics
NPI:1295357226
Name:YOON, SEUNG H (DDS)
Entity Type:Individual
Prefix:DR
First Name:SEUNG
Middle Name:H
Last Name:YOON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:SEAN
Other - Middle Name:
Other - Last Name:YOON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:26 EGAN PL
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD CLIFFS
Mailing Address - State:NJ
Mailing Address - Zip Code:07632-2011
Mailing Address - Country:US
Mailing Address - Phone:917-648-9727
Mailing Address - Fax:
Practice Address - Street 1:220 MADISON AVE STE A
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-3422
Practice Address - Country:US
Practice Address - Phone:917-648-9727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-13
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22DI028735001223X0400X
NMDD52701223X0400X
NY0623021223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics