Active NPIIndividual providerSole proprietor

Dr. Young J Shon, DDS

Dentist in Passaic, New Jersey

NPI Number1750690467
Practice location
20 Broadway, Passaic, NJ 07055-5006
Fax
—
Last updated
July 10, 2016

Young Joon Shon is a Dentist based in Passaic, NJ. Young Joon Shon practices in Passaic, NJ and has the professional credentials of DDS. The NPI Number for Young Joon Shon is 1750690467 and holds a License No. 055223-1 (NY). The current practice location address for Young Joon Shon is 20 Broadway, Passaic, NJ 07055-5006 and can be reached out via phone at 917-951-8657.

Provider Profile Details

NPI Number
1750690467
Provider Name
Young Joon Shon
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
20 Broadway, Passaic, NJ 07055-5006
Phone Number
917-951-8657
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
September 29, 2010
Last Update Date
July 10, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
20 Broadway
Passaic, NJ 07055-5006
Zip
07055-5006
Phone Number
917-951-8657
Passaic, NJ 07055Get directions →

Provider Business Mailing Address Details

Address
2448 3RD St
Fort Lee, NJ 07024-4039
City
Fort Lee
State
NJ
Zip
07024-4039
Phone Number
917-951-8657

License Information

License Number (1)
055223-1
License State (1)
NY
Taxonomy (1)
Dentist · 122300000X
License Number (2)
22DI02423600
License State (2)
NJ
Taxonomy (2)
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 Dr. Young J Shon, DDS?

The NPI number of Dr. Young J Shon, DDS is 1750690467. It was assigned on September 29, 2010 and is currently active in the NPPES registry.

What is the specialty of Dr. Young J Shon, DDS?

Dr. Young J Shon, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in NY under license number 055223-1.

Where does Dr. Young J Shon, DDS practice?

The practice location is 20 Broadway, Passaic, NJ 07055-5006. The office can be reached at 917-951-8657 (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 1750690467 directly on the NPPES registry website.

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