Provider Demographics
NPI:1770787939
Name:SUNG, JASMINE CHIL-MIN (DDS)
Entity type:Individual
Prefix:DR
First Name:JASMINE
Middle Name:CHIL-MIN
Last Name:SUNG
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6918 CORPORATE DR
Mailing Address - Street 2:STE. A-11
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-5139
Mailing Address - Country:US
Mailing Address - Phone:832-367-6016
Mailing Address - Fax:
Practice Address - Street 1:6918 CORPORATE DR
Practice Address - Street 2:STE. A-11
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-5112
Practice Address - Country:US
Practice Address - Phone:713-777-1221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2016-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX233201223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice