Sung Han DDS PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SUNG HAN DDS PLLC

Doing business as

surprise lake dental

Practice address

900 Meridian E Ste 27
Milton, WA 98354-7003

Phone

(253) 922-5401

NPI assigned

Oct 27, 2023

Last updated

Oct 27, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sungyoun Han, DDSNPI 1053691295

Title

Dentist

Phone

(253) 922-5401

Specialties & licenses 1

Addresses

Other names 1

• surprise lake dental Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sung Youn Han, DDS

  • General Practice Dentistry
  • Federal Way, WA
  • NPI 1053691295
  NPD Authorized official

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

{
    "created_epoch": "1698364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698364800000",
    "number": "1356113880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MERIDIAN E STE 27",
            "city": "MILTON",
            "state": "WA",
            "postal_code": "983547003",
            "telephone_number": "253-922-5401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MERIDIAN E STE 27",
            "city": "MILTON",
            "state": "WA",
            "postal_code": "983547003",
            "telephone_number": "253-922-5401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNG HAN DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-27",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "SUNGYOUN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "253-922-5401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "surprise lake dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Becky Ann Smelser
• Jaylund Smith
• South King Healthcare Services,SPC
• Erin Steppan, MSW
• Tyler Sun, RPH
• Surprise Lake Chiropractic, Inc PC
• Tatsiana Svistunova
• Desirae Targaryen, RN
• Christopher A Taylor
• Telecare Mental Health Services of Washington, Inc. (Telecare Pierce County E&T)

• General Practice Dentistry in Milton, WA
• Providers in Milton, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.