MEDICARE: YOONHO SUNG 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	14689	NC

General Provider Information

NPI Number	:	1396687836
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YOONHO SUNG DDS

Provider Business Mailing Address
First Line	:	161 KODIAK LN
Second Line	:
City	:	MOUNT AIRY
State	:	NC
Zip	:	27030-5399
Country	:	US
Telephone Number	:	336-789-1025
Fax Number	:

Provider Business Practice Location Address
First Line	:	161 KODIAK LN
Second Line	:
City	:	MOUNT AIRY
State	:	NC
Zip	:	27030-5399
Country	:	US
Telephone Number	:	336-789-1025
Fax Number	:

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

Provider Enumeration Date	:	04/06/2026
Last Update Date	:	05/26/2026

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Directions to “ YOONHO SUNG DDS” Practice Location

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