Pleasant Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

051492 Issued in NY

Legal business name

PLEASANT DENTAL PLLC

Practice address

19402 Northern Blvd
Suite# LL1
Flushing, NY 11358-3002

Phone

(347) 368-4237

Fax

(347) 438-1849

NPI assigned

Aug 29, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Woojung Won, D.D.S.NPI 1215137310

Title

Dentist

Phone

(347) 368-4237

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Woojung Won, DDS

  • Dentist
  • Flushing, NY
  • NPI 1215137310
  NPD (past) Authorized official
• Seunghwa Sarah Shin, D.D.S

  • Dentist
  • Flushing, NY
  • NPI 1730455528
  NPD (past)

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

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219968000000",
    "number": "1851549075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19402 NORTHERN BLVD",
            "address_2": "SUITE# LL1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583002",
            "telephone_number": "347-368-4237",
            "fax_number": "347-438-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19402 NORTHERN BLVD",
            "address_2": "SUITE# LL1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113583002",
            "telephone_number": "347-368-4237",
            "fax_number": "347-438-1849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-29",
        "last_updated": "2008-08-29",
        "status": "A",
        "authorized_official_last_name": "WON",
        "authorized_official_first_name": "WOOJUNG",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "347-368-4237",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "051492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02711053",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Flushing, NY
• Providers in Flushing, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; 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.