# JACOB SUNG, DDS, PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396200077
- **Authorized official:** DR. JACOB SUNG DDS (DENTIST)
- **Authorized official phone:** (425) 753-1476

## Contact information

- **Practice address:** 16510 STATE ROUTE 9 SE STE 102, SNOHOMISH, WA 98296-8370
- **Practice address phone:** (360) 863-3921
- **Mailing address:** 20932 42ND AVE SE UNIT A, BOTHELL, WA 98021-7913
- **Mailing address phone:** (425) 753-1476

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/06/2019
- **Last updated:** 02/06/2019