Provider Demographics
NPI:1649552886
Name:UH, HYON (DDS)
Entity type:Individual
Prefix:DR
First Name:HYON
Middle Name:
Last Name:UH
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:ANDY
Other - Middle Name:HYON-SOO
Other - Last Name:UH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:9285 S CIMARRON RD
Mailing Address - Street 2:STE 125
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89178-2550
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9285 S CIMARRON RD
Practice Address - Street 2:STE 125
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89178-2550
Practice Address - Country:US
Practice Address - Phone:702-433-5355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-14
Last Update Date:2017-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV64841223G0001X
TX274311223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No1223P0221XDental ProvidersDentistPediatric Dentistry