Kong, Sung Hyon
Kong, Sung Hyon is an sole proprietor health care provider with primary practice located at 11530 Allisonville Rd Suite 175, Fishers IN 46038-1865. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Kong, Sung Hyon can be contacted via phone (317) 845-5100.Contact Information
Primary practice address
11530 Allisonville Rd Suite 175
Fishers IN 46038-1865
Phone: (317) 845-5100
Fax: (317) 845-5200
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 12010747A | Indiana |
Profile Details
| NPI number | 1063535698 |
|---|---|
| LBN Legal business name | Kong, Sung Hyon |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 9th, 2007 |
| Last updated | May 9th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063535698 | NPPES |
| Indiana | MEDICAID | 200533220 |
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