Active NPIIndividual providerSole proprietor

Seungjae Yang, DDS

Dentist in Southington, Connecticut

NPI Number1700602463
Practice location
31 Liberty St Ste 311, Southington, CT 06489-3114
Fax
—
Last updated
November 27, 2024

Seungjae Yang is a Dentist based in Southington, CT. Seungjae Yang practices in Southington, CT and has the professional credentials of DDS. The NPI Number for Seungjae Yang is 1700602463 and holds a License No. 2.014153 (CT). The current practice location address for Seungjae Yang is 31 Liberty St Ste 311, Southington, CT 06489-3114 and can be reached out via phone at 860-628-0385.

Provider Profile Details

NPI Number
1700602463
Provider Name
Seungjae Yang
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
31 Liberty St Ste 311, Southington, CT 06489-3114
Phone Number
860-628-0385
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
November 27, 2024
Last Update Date
November 27, 2024
Certification Date
November 27, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
31 Liberty St Ste 311
Southington, CT 06489-3114
Zip
06489-3114
Phone Number
860-628-0385
Southington, CT 06489Get directions →

Provider Business Mailing Address Details

Address
31 Liberty St Ste 311
Southington, CT 06489-3114
City
Southington
State
CT
Zip
06489-3114

License Information

License Number
2.014153
License State
CT
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Seungjae Yang, DDS?

The NPI number of Seungjae Yang, DDS is 1700602463. It was assigned on November 27, 2024 and is currently active in the NPPES registry.

What is the specialty of Seungjae Yang, DDS?

Seungjae Yang, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in CT under license number 2.014153.

Where does Seungjae Yang, DDS practice?

The practice location is 31 Liberty St Ste 311, Southington, CT 06489-3114. The office can be reached at 860-628-0385 (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 1700602463 directly on the NPPES registry website.

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