Healthcare Provider Details

I. General information

NPI: 1184547523
Provider Name (Legal Business Name): WOO DENTAL RIDGEFIELD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

555 BERGEN BLVD STE A
RIDGEFIELD NJ
07657-2049
US

IV. Provider business mailing address

555 BERGEN BLVD STE A
RIDGEFIELD NJ
07657-2049
US

V. Phone/Fax

Practice location:
  • Phone: 551-313-7414
  • Fax: 551-313-7415
Mailing address:
  • Phone: 551-313-7414
  • Fax: 551-313-7415

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: KYUNG WOO
Title or Position: OWNER
Credential: DDS
Phone: 551-313-7414