Individual provider Active NPI

Yunsung Hong, DMD

  • General Practice Dentistry
  • Fort Benning, GA
National Provider Identifier
1063821601
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30339 Issued in TX
Practice address
6976 Old Cusseta Rd BLDG 4202
Fort Benning, GA 31905-5431
Phone
(706) 544-3176
NPI assigned
Aug 7, 2014
Last updated
Aug 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30339 TX
General Practice Dentistry 1223G0001X 30339 TX Primary

Addresses

Primary practice location

6976 Old Cusseta Rd BLDG 4202
Fort Benning, GA 31905-5431

Mailing address

300 W Hospital Rd
Fort Gordon, GA 30905-5741

Other practice location 1

HQ, 618th DCAS/DENTAC, KOREA UNIT 15652
Apo, AP 96271
Phone (315) 737-9186

Other practice location 2

652 Hamilton Rd
USA Dental Activity
Fort Sill, OK 73503
Phone (580) 442-3905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
30339TXMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1063821601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W HOSPITAL RD",
            "city": "FORT GORDON",
            "state": "GA",
            "postal_code": "309055741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6976 OLD CUSSETA RD BLDG 4202",
            "city": "FORT BENNING",
            "state": "GA",
            "postal_code": "319055431",
            "telephone_number": "706-544-3176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "HQ, 618th DCAS/DENTAC, KOREA UNIT 15652",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "AP",
            "postal_code": "96271",
            "country_code": "US",
            "telephone_number": "315-737-9186",
            "country_name": "United States",
            "address_type": "MIL"
        },
        {
            "address_1": "652 Hamilton Rd",
            "address_2": "USA Dental Activity",
            "address_purpose": "LOCATION",
            "city": "Fort Sill",
            "state": "OK",
            "postal_code": "73503",
            "country_code": "US",
            "telephone_number": "580-442-3905",
            "fax_number": "580-442-4002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HONG",
        "first_name": "YUNSUNG",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-07",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "30339",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "30339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Benning, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.