Provider Demographics
NPI:1346599412
Name:SHEEN, HYUN SEOK (DDS)
Entity Type:Individual
Prefix:
First Name:HYUN
Middle Name:SEOK
Last Name:SHEEN
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 1:2755 CARPENTER RD STE 1NE
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-1171
Mailing Address - Country:US
Mailing Address - Phone:734-971-2980
Mailing Address - Fax:734-971-2680
Practice Address - Street 1:2755 CARPENTER RD STE 1NE
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-1171
Practice Address - Country:US
Practice Address - Phone:734-971-2980
Practice Address - Fax:734-971-2680
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-05
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2901021749122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist