Provider Demographics
NPI:1255950226
Name:EMERGENCY AND GENERAL DENTAL PLLC
Entity type:Organization
Organization Name:EMERGENCY AND GENERAL DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST, OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KYUNG
Authorized Official - Middle Name:
Authorized Official - Last Name:SUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-424-9338
Mailing Address - Street 1:15 SOMERSET LN APT 106
Mailing Address - Street 2:
Mailing Address - City:EDGEWATER
Mailing Address - State:NJ
Mailing Address - Zip Code:07020-2414
Mailing Address - Country:US
Mailing Address - Phone:201-424-9338
Mailing Address - Fax:
Practice Address - Street 1:425 MADISON AVE RM 1800
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10017-1152
Practice Address - Country:US
Practice Address - Phone:201-424-9338
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-10
Last Update Date:2020-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty