Healthcare Provider Details

I. General information

NPI: 1154248151
Provider Name (Legal Business Name): YIH-TSYR SUNG DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 HOOKS ST STE 100
CLERMONT FL
34711-3549
US

IV. Provider business mailing address

900 HOOKS ST STE 100
CLERMONT FL
34711-3549
US

V. Phone/Fax

Practice location:
  • Phone: 352-360-7274
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN32146
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: