Provider Demographics
NPI:1346504925
Name:YU, JUN (DDS)
Entity Type:Individual
Prefix:
First Name:JUN
Middle Name:
Last Name:YU
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 CONCORD ST
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03064-2355
Mailing Address - Country:US
Mailing Address - Phone:603-882-8000
Mailing Address - Fax:603-676-7066
Practice Address - Street 1:6 CONCORD ST
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03064-2355
Practice Address - Country:US
Practice Address - Phone:603-882-8000
Practice Address - Fax:603-676-7066
Is Sole Proprietor?:No
Enumeration Date:2012-06-28
Last Update Date:2021-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH04295204E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204E00000XAllopathic & Osteopathic PhysiciansOral & Maxillofacial Surgery