MEDICARE: DR. STUART S YOON DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	8065	NC

General Provider Information

NPI Number	:	1225092406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STUART S YOON DDS

Provider Business Mailing Address
First Line	:	1396 SAND HILL RD
Second Line	:	SUITE 4
City	:	CANDLER
State	:	NC
Zip	:	28715-8937
Country	:	US
Telephone Number	:	828-670-1966
Fax Number	:	828-670-1964

Provider Business Practice Location Address
First Line	:	1396 SAND HILL RD
Second Line	:	SUITE 4
City	:	CANDLER
State	:	NC
Zip	:	28715-8937
Country	:	US
Telephone Number	:	828-670-1966
Fax Number	:	828-670-1964

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/14/2006
Last Update Date	:	07/08/2007

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