Suk, Hye Jung Regina

Suk, Hye Jung Regina is an individual health care provider with primary practice located at 4030 Lawrenceville Hwy Nw , Lilburn GA 30047-3011. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Suk, Hye Jung Regina can be contacted via phone (678) 252-5665.

Contact Information

Primary practice address
4030 Lawrenceville Hwy Nw Lilburn GA 30047-3011
Phone: (678) 252-5665
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 6687 Arizona
Dental Providers / General Practice 1223G0001X DN014221 Georgia

Profile Details

NPI number 1558372235
LBN Legal business name Suk, Hye Jung Regina
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Mar 4th, 2021 - about 5 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 1558372235 NPPES
Arizona MEDICAID 048090

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