Provider Demographics
NPI:1568523702
Name:CHUN, JOHN HONGWOO (DDS)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:HONGWOO
Last Name:CHUN
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 1:1730 ARCHERS GLN
Mailing Address - Street 2:
Mailing Address - City:SYKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21784-5628
Mailing Address - Country:US
Mailing Address - Phone:410-489-2272
Mailing Address - Fax:
Practice Address - Street 1:8 ANCHOR ST
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-4402
Practice Address - Country:US
Practice Address - Phone:410-876-6777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD103951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice