Lee, Sang Yoon

Lee, Sang Yoon is an sole proprietor health care provider with primary practice located at 270 Belleville Avenue Dental Office Of Dr Lee Sang, Bloomfield NJ 07003. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Lee, Sang Yoon can be contacted via phone (973) 259-9600.

Contact Information

Primary practice address
270 Belleville Avenue Dental Office Of Dr Lee Sang Bloomfield NJ 07003
Fax: (973) 259-9700
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 22DI02174800 New Jersey

Profile Details

NPI number 1093864597
LBN Legal business name Lee, Sang Yoon
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2007
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093864597 NPPES
New Jersey MEDICAID 0027651

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