Hong, Soomin

Hong, Soomin is an individual health care provider with primary practice located at 620 N Coppell Rd Apt 3206 , Coppell TX 75019-2053. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Hong, Soomin can be contacted via phone (415) 690-0611.

Contact Information

Primary practice address
620 N Coppell Rd Apt 3206 Coppell TX 75019-2053
Phone: (415) 690-0611
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DEN-8825 Colorado
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 102080 California
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 34723 Texas

Profile Details

NPI number 1629132303
LBN Legal business name Hong, Soomin
Credentials D.D.S, M.S.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2006
Last updated Sep 13th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629132303 NPPES
Colorado MEDICAID 71001549

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