Provider Demographics
NPI:1871816223
Name:PYON, HEE JOO (DDS)
Entity Type:Individual
Prefix:DR
First Name:HEE
Middle Name:JOO
Last Name:PYON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:HEEJOO
Other - Middle Name:
Other - Last Name:PYON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:30 E 60TH ST STE 702
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10022-7110
Mailing Address - Country:US
Mailing Address - Phone:212-265-9800
Mailing Address - Fax:646-787-9396
Practice Address - Street 1:30 E 60TH ST STE 702
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10022-7110
Practice Address - Country:US
Practice Address - Phone:212-265-9800
Practice Address - Fax:646-787-9396
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-12
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0549201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice