Active NPI
Sejong Yoon, D.D.S.
- General Practice Dentistry
- Snellville, GA
National Provider Identifier
1225487333
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN122500
- Practice address
- 1850 Scenic Hwy N Ste B
Snellville, GA 30078-4702 - Phone
- (770) 979-0661
- NPI assigned
- Jun 9, 2016
- Sex
- Male
- 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 | DN122500 | GA | Primary |
Addresses
Primary practice location
1850 Scenic Hwy N Ste B
Snellville, GA 30078-4702
Mailing address
1850 Scenic Hwy N Ste B
Snellville, GA 30078-4702
Phone (770) 979-0661
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN122500 | GA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643587200000",
"number": "1225487333",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 SCENIC HWY N STE B",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300784702",
"telephone_number": "770-979-0661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 SCENIC HWY N STE B",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300784702",
"telephone_number": "770-979-0661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOON",
"first_name": "SEJONG",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-09",
"last_updated": "2022-01-31",
"certification_date": "2022-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN122500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.