Provider Demographics
NPI:1760708812
Name:SUNG, JOO YUN (DMD)
Entity Type:Individual
Prefix:
First Name:JOO
Middle Name:YUN
Last Name:SUNG
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:345 E 24TH ST 9W DEPT OF PEDIATRIC DENTISTRY
Mailing Address - Street 2:NEW YORK UNIVERSITY COLLEGE OF DENTISTRY
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10010
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:345 E 24TH ST 9W DEPT OF PEDIATRIC DENTISTRY
Practice Address - Street 2:NEW YORK UNIVERSITY COLLEGE OF DENTISTRY
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10010
Practice Address - Country:US
Practice Address - Phone:212-998-9650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-14
Last Update Date:2014-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program