Young Hoon Chung DMD PC

Primary specialty

DentistTaxonomy code 122300000X

License

053656 Issued in NY

Legal business name

YOUNG HOON CHUNG DMD PC

Practice address

205 Baldwin Path
Deer Park, NY 11729-1407

Phone

(631) 566-1959

NPI assigned

Feb 12, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Young Chung, DMD

Title

Dentist/President

Phone

(631) 566-1959

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234396800000",
    "number": "1730328873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 BALDWIN PATH",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117291407",
            "telephone_number": "631-566-1959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 BALDWIN PATH",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117291407",
            "telephone_number": "631-566-1959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG HOON CHUNG DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-12",
        "last_updated": "2009-02-12",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_title_or_position": "DENTIST/PRESIDENT",
        "authorized_official_telephone_number": "631-566-1959",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "053656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; 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.