Healthcare Provider Details

I. General information

NPI: 1295357226
Provider Name (Legal Business Name): SEUNG H YOON DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: DR. SEAN YOON

II. Dates (important events)

Enumeration Date: 05/13/2020
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

26 EGAN PL
ENGLEWOOD CLIFFS NJ
07632-2011
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 TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License NumberDD5270
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number062302
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number22DI02873500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: