Provider Demographics
NPI:1205098043
Name:SHON, SEUNG UK (DMD)
Entity type:Individual
Prefix:DR
First Name:SEUNG
Middle Name:UK
Last Name:SHON
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 1ST ST
Mailing Address - Street 2:
Mailing Address - City:HO HO KUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07423-1575
Mailing Address - Country:US
Mailing Address - Phone:201-251-8131
Mailing Address - Fax:201-251-8043
Practice Address - Street 1:119 1ST ST
Practice Address - Street 2:
Practice Address - City:HO HO KUS
Practice Address - State:NJ
Practice Address - Zip Code:07423-1575
Practice Address - Country:US
Practice Address - Phone:201-251-8131
Practice Address - Fax:201-251-8043
Is Sole Proprietor?:No
Enumeration Date:2008-07-01
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJDI024433001223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics