Provider Demographics
NPI:1972735280
Name:HYON, KRISTINE M (DMD, MS)
Entity Type:Individual
Prefix:DR
First Name:KRISTINE
Middle Name:M
Last Name:HYON
Suffix:
Gender:F
Credentials:DMD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:194 LIVINGSTON ST STE 1
Mailing Address - Street 2:
Mailing Address - City:NORTHVALE
Mailing Address - State:NJ
Mailing Address - Zip Code:07647-1842
Mailing Address - Country:US
Mailing Address - Phone:201-767-4555
Mailing Address - Fax:201-767-4547
Practice Address - Street 1:194 LIVINGSTON ST STE 1
Practice Address - Street 2:
Practice Address - City:NORTHVALE
Practice Address - State:NJ
Practice Address - Zip Code:07647-1842
Practice Address - Country:US
Practice Address - Phone:201-767-4555
Practice Address - Fax:201-767-4547
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-20
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY046481-11223X0400X
NJ22D1019663001223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics