Minjung Yoon DMD PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

20265 Issued in MA

Legal business name

MINJUNG YOON DMD PC

Doing business as

Family Dental Group

Practice address

340 Maple St
Suite 210
Marlborough, MA 01752-3200

Phone

(508) 480-9299

Fax

(508) 480-9979

NPI assigned

Mar 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Minjung Yoon, DMD

Title

President

Phone

(508) 480-9299

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Family Dental Group Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Min Jung Kim, D.M.D.

  • General Practice Dentistry
  • Marlborough, MA
  • NPI 1659444099
  NPD (past)

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1174794986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 MAPLE ST",
            "address_2": "SUITE 210",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523200",
            "telephone_number": "508-480-9299",
            "fax_number": "508-480-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 MAPLE ST",
            "address_2": "SUITE 210",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017523200",
            "telephone_number": "508-480-9299",
            "fax_number": "508-480-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINJUNG YOON DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "YOON",
        "authorized_official_first_name": "MINJUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "508-480-9299",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "20265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9763210",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "182515",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vontravia Miller
• Jamie Millett, LCSW
• Myrva Millette
• Christina R Milligan
• Pamela J Minichiello, MS
• Rebecca Minor, LCSW
• Peter John Miotto, M.D.
• McKenna Thompson Mirer
• Azhane Mitchell
• Jawana Mitchell

• General Practice Dentistry in Marlborough, MA
• Providers in Marlborough, MA by specialty
• General Practice Dentistry in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.