Individual
DR. SUNG HYON KONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11530 ALLISONVILLE RD, SUITE 175, FISHERS, IN 46038-1865
(317) 845-5100
(317) 845-5200
Mailing address
11530 ALLISONVILLE RD, SUITE 175, FISHERS, IN 46038-1865
(317) 845-5100
(317) 845-5200
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12010747A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200533220
—
IN
Enumeration date
04/09/2007
Last updated
05/09/2008
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