Provider Demographics
NPI:1568483311
Name:HUNG-ORLANDO, CATHY YUAN (DDS)
Entity Type:Individual
Prefix:
First Name:CATHY
Middle Name:YUAN
Last Name:HUNG-ORLANDO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:YUAN
Other - Middle Name:
Other - Last Name:HUNG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:312 APPLEGARTH RD SUITE 202
Mailing Address - Street 2:
Mailing Address - City:MONROE TWP
Mailing Address - State:NJ
Mailing Address - Zip Code:08831
Mailing Address - Country:US
Mailing Address - Phone:609-860-6369
Mailing Address - Fax:609-860-6375
Practice Address - Street 1:312 APPLEGARTH RD SUITE 202
Practice Address - Street 2:
Practice Address - City:MONROE TWP
Practice Address - State:NJ
Practice Address - Zip Code:08831
Practice Address - Country:US
Practice Address - Phone:609-860-6369
Practice Address - Fax:609-860-6375
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2015-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ22D1021346001223P0106X
NJ22DI021346001223S0112X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223S0112XDental ProvidersDentistOral and Maxillofacial Surgery
No1223P0106XDental ProvidersDentistOral and Maxillofacial Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ11302009OtherCAQH
NJ528171Medicare ID - Type Unspecified