Hayeon Koo
Dentist, General Practice in Fort Lee, New Jersey
1326545377- Practice location
- 1315 Anderson Ave Ste A, Fort Lee, NJ 07024-1732
- Phone
- 013-059-8082
- Fax
- —
- Last updated
- January 14, 2020
Hayeon Koo is a Dentist, General Practice based in Fort Lee, NJ. Hayeon Koo practices in Fort Lee, NJ. The NPI Number for Hayeon Koo is 1326545377 and holds a License No. 22DI027668800 (NJ). The current practice location address for Hayeon Koo is 1315 Anderson Ave Ste A, Fort Lee, NJ 07024-1732 and can be reached out via phone at 013-059-8082.
Provider Profile Details
- NPI Number
- 1326545377
- Provider Name
- Hayeon Koo
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1315 Anderson Ave Ste A, Fort Lee, NJ 07024-1732
- Phone Number
- 013-059-8082
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- April 6, 2018
- Last Update Date
- January 14, 2020
- Certification Date
- January 14, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1315 Anderson Ave Ste A
Fort Lee, NJ 07024-1732 - City
- Fort Lee
- State
- New Jersey
- Zip
- 07024-1732
- Phone Number
- 013-059-8082
Provider Business Mailing Address Details
- Address
- 1315 Anderson Ave Ste A
Fort Lee, NJ 07024-1732 - City
- Fort Lee
- State
- NJ
- Zip
- 07024-1732
- Phone Number
- 201-305-9808
License Information
- License Number
- 22DI027668800
- License State
- NJ
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Hayeon Koo?
The NPI number of Hayeon Koo is 1326545377. It was assigned on April 6, 2018 and is currently active in the NPPES registry.
What is the specialty of Hayeon Koo?
Hayeon Koo is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI027668800.
Where does Hayeon Koo practice?
The practice location is 1315 Anderson Ave Ste A, Fort Lee, NJ 07024-1732. The office can be reached at 013-059-8082 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1326545377 directly on the NPPES registry website.