Provider Demographics
NPI:1760603906
Name:HONG, SUNG RAN (DDS)
Entity Type:Individual
Prefix:DR
First Name:SUNG RAN
Middle Name:
Last Name:HONG
Suffix:
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 1:14207 37TH AVE
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-4102
Mailing Address - Country:US
Mailing Address - Phone:718-762-5557
Mailing Address - Fax:718-358-5696
Practice Address - Street 1:14207 37TH AVE
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-4102
Practice Address - Country:US
Practice Address - Phone:718-762-5557
Practice Address - Fax:718-358-5696
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY047146-11223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry