Sung Yong Han, D.D.S, MD

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

40083 Issued in TX

Practice address

1870 N Stonebridge Dr # 110
McKinney, TX 75071-7443

Phone

(214) 592-0692

NPI assigned

May 24, 2016

Last updated

Mar 25, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shan94916@direct.llu.edu

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Texas Dental Surgery PLLC

  • Dental Clinic/Center
  • McKinney, TX
  • NPI 1740972314

  Multi-Specialty

  NPD
• NTDS Grapevine

  dba North Texas Dental Surgery

  • Periodontics
  • McKinney, TX
  • NPI 1922790591

  Multi-Specialty

  NPD
• Fairfax Oral and Maxillofacial Surgery PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Fairfax, VA
  • NPI 1710907134
  NPD (past)

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1295182814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8052 ZEPPOS DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750247811",
            "telephone_number": "313-471-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 N STONEBRIDGE DR # 110",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750717443",
            "telephone_number": "214-592-0692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10530 Rosehaven St Ste 111",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220302840",
            "country_code": "US",
            "telephone_number": "703-385-5777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAN",
        "first_name": "SUNG YONG",
        "credential": "D.D.S, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-24",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "40083",
            "primary": true
        },
        {
            "code": "204E00000X",
            "taxonomy_group": "",
            "desc": "Oral & Maxillofacial Surgery",
            "state": "TX",
            "license": "40083",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camille Hampton, RPH
• Lisa Rene Hamric, LAT, ATC
• Han Pham Hulen, MD, P.a. (Synergy Foot and Ankle)
• David Donghee Han, PHARMD
• Esther Han, D.O.
• Amanda Carol Hancock, RD, RN
• Christian Hancock
• Dewayne Handy, CRNA
• Katherine Hanley, M.ED. BCBA
• Chantal Hanna

• Oral and Maxillofacial Surgery (Dentist) in McKinney, TX
• Providers in McKinney, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.