Healthcare Provider Details

I. General information

NPI: 1366929168
Provider Name (Legal Business Name): HANNAH MIN YOO DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2018
Last Update Date: 01/26/2026
Certification Date: 01/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 NE MAYNARD RD STE 200
CARY NC
27513-9615
US

IV. Provider business mailing address

120 NE MAYNARD RD STE 200
CARY NC
27513-9615
US

V. Phone/Fax

Practice location:
  • Phone: 919-677-1932
  • Fax: 919-677-2942
Mailing address:
  • Phone: 919-677-1932
  • Fax: 919-677-2942

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number12617
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: