Provider Demographics
NPI:1386861847
Name:HWANG, JAE HEE VII (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAE
Middle Name:HEE
Last Name:HWANG
Suffix:VII
Gender:F
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:YORK HOSPITAL DENTAL CENTER
Mailing Address - Street 2:1001 S. GEORGE STREET
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17405
Mailing Address - Country:US
Mailing Address - Phone:717-851-2066
Mailing Address - Fax:717-851-3565
Practice Address - Street 1:YORK HOSPITAL DENTAL CENTER
Practice Address - Street 2:1001 S. GEORGE STREET
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17405
Practice Address - Country:US
Practice Address - Phone:717-851-2066
Practice Address - Fax:717-851-3565
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS037035122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist