Provider Demographics
NPI:1790816882
Name:AHN, SUNGHEE (DMD)
Entity Type:Individual
Prefix:DR
First Name:SUNGHEE
Middle Name:
Last Name:AHN
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 1:1551 N FLAGLER DR
Mailing Address - Street 2:APT 1501
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-3450
Mailing Address - Country:US
Mailing Address - Phone:561-317-1190
Mailing Address - Fax:
Practice Address - Street 1:2419 S DIXIE HWY
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-7935
Practice Address - Country:US
Practice Address - Phone:561-284-6661
Practice Address - Fax:561-284-6110
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2021-08-16
Deactivation Date:2021-07-27
Deactivation Code:
Reactivation Date:2021-08-11
Provider Licenses
StateLicense IDTaxonomies
FLDN157801223E0200X
FL157801223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics