Provider Demographics
NPI:1811367972
Name:HONG, JASON SINHEE (DMD)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:SINHEE
Last Name:HONG
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:SINHEE
Other - Middle Name:
Other - Last Name:HONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:108 FILLY DR
Mailing Address - Street 2:
Mailing Address - City:NORTH WALES
Mailing Address - State:PA
Mailing Address - Zip Code:19454-4247
Mailing Address - Country:US
Mailing Address - Phone:646-812-4222
Mailing Address - Fax:
Practice Address - Street 1:4730 SW 9TH ST
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50315-3973
Practice Address - Country:US
Practice Address - Phone:515-287-0011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IADDS-094541223G0001X
NJ22DI026190001223G0001X
PADS0405841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice