Active NPI
Euna Yoo, DDS
- General Practice Dentistry
- Woodstock, GA
National Provider Identifier
1225269541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 010098
- Practice address
- 2230 Towne Lake Parkway
BLDG 1300, Ste 100
Woodstock, GA 30189 - Phone
- (678) 445-5444
- Fax
- (678) 445-5552
- NPI assigned
- Aug 4, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 010098 | CT | Primary |
Addresses
Primary practice location
2230 Towne Lake Parkway
BLDG 1300, Ste 100
Woodstock, GA 30189
Mailing address
P O Box 195
Woodstock, GA 30188
Phone (678) 445-5444
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
| License | State | Type | Specialty |
|---|---|---|---|
| 010098 | CT | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Childrens Dentistry of Woodstock | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatric Dentistry
- Woodstock, GA
- NPI 1902965932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265932800000",
"number": "1225269541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 195",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "30188",
"telephone_number": "678-445-5444",
"fax_number": "678-445-5552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2230 TOWNE LAKE PARKWAY",
"address_2": "BLDG 1300, STE 100",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "30189",
"telephone_number": "678-445-5444",
"fax_number": "678-445-5552"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOO",
"first_name": "EUNA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-04",
"last_updated": "2010-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CT",
"license": "010098",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.