Woojung Sul, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

39467 Issued in TX

Practice address

263 Barclay Ave
Coppell, TX 75019-5527

Phone

(424) 202-1111

NPI assigned

Jul 17, 2017

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

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.

• Mark M. Reynolds D.D.S.

  • Dental Clinic/Center
  • Augusta, ME
  • NPI 1447469366
  NPD (past)

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718582400000",
    "number": "1700309291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 BARCLAY AVE",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750195527",
            "telephone_number": "424-202-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 BARCLAY AVE",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750195527",
            "telephone_number": "424-202-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUL",
        "first_name": "WOOJUNG",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "4582",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TX",
            "license": "39467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elise Marie Stratil
• Sara Sturdivan, RD, LD
• Srividhya Subramanian
• Tina Marie Sugden, R.D.H.
• Suitable Homehealth Care Inc
• Nawal Joulani Suleman, PA-C
• Michael D Sullivan, PA
• Shanielle Brianne Henslee Sum, MS, CCC-SLP
• Punam Sureka Rungta, DMD
• Anu Sury, D.O.

• Orthodontics and Dentofacial Orthopedics Dentistry in Coppell, TX
• Providers in Coppell, TX by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.