Provider Demographics
NPI:1386722338
Name:DR YUHUNG NG DDS LLC
Entity type:Organization
Organization Name:DR YUHUNG NG DDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:YUHUNG
Authorized Official - Middle Name:
Authorized Official - Last Name:NG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:814-237-2577
Mailing Address - Street 1:137 S PUGH ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16801
Mailing Address - Country:US
Mailing Address - Phone:814-237-2577
Mailing Address - Fax:814-237-1802
Practice Address - Street 1:137 S PUGH ST
Practice Address - Street 2:SUITE 3
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16801
Practice Address - Country:US
Practice Address - Phone:814-237-2577
Practice Address - Fax:814-237-1802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty