Provider Demographics
NPI:1457998437
Name:HONG, SUNGHYEOK
Entity type:Individual
Prefix:
First Name:SUNGHYEOK
Middle Name:
Last Name:HONG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6518 MEADOWRIDGE RD STE 124
Mailing Address - Street 2:
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-6458
Mailing Address - Country:US
Mailing Address - Phone:301-450-7454
Mailing Address - Fax:
Practice Address - Street 1:6518 MEADOWRIDGE RD STE 124
Practice Address - Street 2:
Practice Address - City:ELKRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21075-6458
Practice Address - Country:US
Practice Address - Phone:301-450-7454
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-09
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC124671223G0001X
MD17225122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice