DR. GEORGE YI JAAN SOUNG (NPI# 1619314556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619314556 |
| Entity Type | Individual |
| Full Name | DR. GEORGE YI JAAN SOUNG |
| Credential | DDS |
| Practice Address |
5700 University Pointe Blvd Ste 104 Charlotte NC 28262-5026 |
| Mailing Address |
3731 Park South Station Blvd Charlotte NC 28210-4473 |
| Practice Telephone | 7045498020 |
| Mailing Telephone | 7242442628 |
| Enumeration Date | 2013-06-02 |
| Last Update Date | 2020-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
9533 | NC | Dental Providers |
| Street Address |
5700 UNIVERSITY POINTE BLVD STE 104 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28262-5026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056913 | Aleta Michelle Johnson | Specialist | 9711 David Taylor Dr., Ste. 145, Charlotte, NC 28262 | 2020-09-01 |
| 1275161580 | Londyn Homecare Agency L.l.c | Home Health | 1914j.n. Place, Charlotte, NC 28262 | 2020-03-31 |
| 1154964914 | Abundant Love Home Care Service LLC | In Home Supportive Care | 1981 J.n. Pease Place, Ste 204, Charlotte, NC 28262 | 2019-10-24 |
| 1104399070 | Nattya S Pilgreen | Prosthetist | 410 E Mccullough Drive, Suite 103, Charlotte, NC 28262 | 2019-01-03 |
| 1114404506 | Laura Ida Anthony-getant | Social Worker | 10130 Mallard Creek Road, Ste 300 #333, Charlotte, NC 28262 | 2018-07-27 |
| 1720573587 | Carolinas Center for Ambulatory Dentistry LLC | Dentist | 8415 Medical Plaza Drice, Charlotte, NC 28262 | 2018-06-25 |
| 1598254799 | Cassandra Faye Harding | Nurse Practitioner | 1905 Jn Pease Place Suite 103, Charlotte, NC 28262 | 2018-05-03 |
| 1669960746 | Michael Riley | In Home Supportive Care | 8301 University Exec Park Dr Ste 120, Charlotte, NC 28262 | 2018-04-25 |
| 1568989804 | Bridget Coomber | Behavior Technician | 8420 University Executive Dr Ste 810, Charlotte, NC 28262 | 2017-08-28 |
| 1073037701 | Toshana Daley | Physical Therapist | 8801 Jm Keynes Blvd, Charlotte, NC 28262 | 2017-08-03 |
| Find all providers in zip 28262 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003296831 | Jesse Eric Ricciuti | Dentist | 10042 Park Cedar Dr Ste B, Charlotte, NC 28210 | 2015-06-07 |
| 1518346105 | Christopher Abernathy | Dentist | 3111 Springbank Ln Ste A, Charlotte, NC 28226 | 2015-05-28 |
| 1013278696 | Andrew Henry | Dentist | 8840 Blakeney Professional Dr Ste 300, Charlotte, NC 28277-6749 | 2012-05-31 |
| 1861703183 | Carrie A Baldwin | Dentist | 1601 Abbey Pl Ste 220, Charlotte, NC 28209-3825 | 2010-07-01 |
| 1407011927 | Karthik Kanakasundaram Naidu | Dentist | 5700 University Pointe Blvd, Suite 104, Charlotte, NC 28262-5026 | 2008-07-24 |
| 1861650095 | Mid Michigan Oral Surgery | Dentist | 110 N Cochran Ave, Charlotte, MI 48813-1508 | 2008-05-23 |
| 1942474077 | Waheed V Mohamed | Dentist | 411 Billingsley Rd., Suite 105, Charlotte, NC 28211 | 2008-04-18 |
| 1659543155 | John Omalley | Dentist | 2007 Randolph Rd, Charlotte, NC 28207-1233 | 2008-03-25 |
| 1679756597 | Robert L Seymour Dds Pa | Dentist | 2711 Randolph Rd Ste 510, Charlotte, NC 28207-2027 | 2007-12-13 |
| 1558426874 | John P Omalley Dmd Pa | Dentist | 2007 Randolph Road, Charlotte, NC 28207 | 2006-12-27 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.