Song, Sharon Kyungha

Song, Sharon Kyungha is an individual health care provider with primary practice located at 49 Day St , Norwalk CT 06854-4901. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Song, Sharon Kyungha can be contacted via phone (203) 854-9292.

Contact Information

Primary practice address
49 Day St Norwalk CT 06854-4901
Phone: (203) 854-9292
Fax: (203) 854-9437
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0520021 New York
Dental Providers / General Practice 1223G0001X 009859 Connecticut

Profile Details

NPI number 1053452359
LBN Legal business name Song, Sharon Kyungha
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2007
Last updated Aug 9th, 2011 - about 13 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 1053452359 NPPES
Connecticut MEDICAID 004236354
Connecticut MEDICAID 02678297

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