Healthcare Provider Details

I. General information

NPI: 1265158760
Provider Name (Legal Business Name): YOON ORTHODONTICS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2022
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

575 MADISON AVE STE 1500
NEW YORK NY
10022-2511
US

IV. Provider business mailing address

575 MADISON AVE STE 1500
NEW YORK NY
10022-2511
US

V. Phone/Fax

Practice location:
  • Phone: 347-878-8767
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. SEUNG H YOON
Title or Position: OWNER
Credential: DDS
Phone: 347-878-8767