Provider Demographics
NPI:1376019034
Name:HYUN SHEEN DDS, PLLC
Entity Type:Organization
Organization Name:HYUN SHEEN DDS, PLLC
Other - Org Name:ANN ARBOR FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HYUN
Authorized Official - Middle Name:S
Authorized Official - Last Name:SHEEN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:571-643-5305
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:
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-22
Last Update Date:2020-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty