Provider Demographics
NPI:1528211794
Name:CHOI, BRIAN BYUNG WOO (DDS)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:BYUNG WOO
Last Name:CHOI
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 1:7284 DORCHESTER WOODS LN
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MD
Mailing Address - Zip Code:21076-2038
Mailing Address - Country:US
Mailing Address - Phone:465-095-1006
Mailing Address - Fax:
Practice Address - Street 1:7800 HOUSE OF CORRECTION ROAD
Practice Address - Street 2:
Practice Address - City:JESSUP
Practice Address - State:MD
Practice Address - Zip Code:20794
Practice Address - Country:US
Practice Address - Phone:410-664-2560
Practice Address - Fax:410-664-2560
Is Sole Proprietor?:No
Enumeration Date:2008-10-31
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY50-0539591223G0001X
MD162681223G0001X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice