Southern Dental

Primary specialty

DentistTaxonomy code 122300000X

License

048586 Issued in NY

Legal business name

SOUTHERN DENTAL

Practice address

9920 4TH Ave
Brooklyn, NY 11209-8333

Phone

(718) 439-2988

NPI assigned

Feb 20, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Sun Hwang

Title

Assist

Phone

(718) 439-2988

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337817600000",
    "number": "1336284025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9920 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112098333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9920 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112098333",
            "telephone_number": "718-439-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2012-05-24",
        "status": "A",
        "authorized_official_last_name": "HWANG",
        "authorized_official_first_name": "SUN",
        "authorized_official_title_or_position": "ASSIST",
        "authorized_official_telephone_number": "718-439-2988",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "048586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin South
• Briseida South
• Nicole Anita South
• Shannon South, FNTP
• Nydia Diane Southerland
• Angela Grace Southern
• Joyce Lynn Southers, N.P.
• Southside Podiatry PC
• Southwest Brooklyn Dental Practice, PLLC
• Southwest Brooklyn Health Home, LLC (Brooklyn Health Home)

• Dentist in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; 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.