Hayeon Koo

General Practice Dentistry · Fort Lee, NJ

Individual Active NPI

NPI number 1326545377

Practice location

1315 Anderson Ave Ste a
Fort Lee, NJ 07024-1732
Phone
(013) 059-8082

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NPI record

NPI
1326545377
Entity type
Individual (Type 1)
Enumeration date
April 6, 2018
Last updated
January 14, 2020
Certified
January 14, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 22DI027668800 NJ

About Hayeon Koo

Hayeon Koo is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1315 Anderson Ave Ste a, Fort Lee, NJ 07024-1732. The NPI number 1326545377 was assigned on April 6, 2018 and the record was last updated on January 14, 2020.

Hayeon Koo lists a license in the registry: #22DI027668800 (NJ) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Hayeon Koo?

The NPI number is 1326545377.

What is the phone number of Hayeon Koo?

The phone number listed for the practice location is (013) 059-8082.

Where is Hayeon Koo located?

1315 Anderson Ave Ste a, Fort Lee, NJ 07024-1732.

What is the taxonomy code for Hayeon Koo?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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