Peter Yoon, DDS

Dentist · Fort Eisenhower, GA

Individual Active NPI

NPI number 1073916789

Practice location

300 E Hospital Rd
Fort Eisenhower, GA 30905
Phone
(706) 787-2516

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NPI record

NPI
1073916789
Entity type
Individual (Type 1)
Enumeration date
October 8, 2014
Last updated
March 13, 2024
Certified
March 11, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 100212 CA
Dentist 122300000X 019.030065 IL

Mailing address

4301 Boca Raton Dr
The Colony, TX 75056-4046
Phone
(214) 587-6505

About Dr. Yoon

Peter Yoon, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 300 E Hospital Rd, Fort Eisenhower, GA 30905. The NPI number 1073916789 was assigned on October 8, 2014 and the record was last updated on March 13, 2024.

Dr. Yoon lists 2 licenses in the registry: #100212 (CA) for Dentist; #019.030065 (IL) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Peter Yoon, DDS?

The NPI number is 1073916789.

What is the phone number of Dr. Yoon?

The phone number listed for the practice location is (706) 787-2516.

Where is Dr. Yoon located?

300 E Hospital Rd, Fort Eisenhower, GA 30905.

What is the taxonomy code for Dr. Yoon?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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