Healthcare Provider Details

I. General information

NPI: 1568370575
Provider Name (Legal Business Name): GUCCI GUSUN DING DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

347 5TH AVE RM 1310
NEW YORK NY
10016-5015
US

IV. Provider business mailing address

226 E 85TH ST APT 2C
NEW YORK NY
10028-3093
US

V. Phone/Fax

Practice location:
  • Phone: 917-909-4534
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number065741
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: