Healthcare Provider Details

I. General information

NPI: 1801727482
Provider Name (Legal Business Name): SUSIE HONG DDS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

446 E COMMONWEALTH AVE
FULLERTON CA
92832-2019
US

IV. Provider business mailing address

446 E COMMONWEALTH AVE
FULLERTON CA
92832-2019
US

V. Phone/Fax

Practice location:
  • Phone: 714-680-6767
  • Fax: 714-680-6924
Mailing address:
  • Phone: 714-680-6767
  • Fax: 714-680-6924

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SUSIE HONG
Title or Position: PRESIDENT
Credential: DDS
Phone: 714-680-6767