Healthcare Provider Details

I. General information

NPI: 1679886295
Provider Name (Legal Business Name): YOUNG JOON BYUN D.M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2010
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2680 LAWRENCEVILLE HWY STE 102
DECATUR GA
30033-2526
US

IV. Provider business mailing address

2680 LAWRENCEVILLE HWY STE 102
DECATUR GA
30033-2526
US

V. Phone/Fax

Practice location:
  • Phone: 678-990-8034
  • Fax:
Mailing address:
  • Phone: 678-990-8034
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1223E0200X
TaxonomyEndodontics
License NumberDN015750
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number019.029337
License Number StateIL
# 3
Primary TaxonomyN
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN1855365
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: