JUNGSUN SEO AHN (NPI# 1689115511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689115511 |
| Entity Type | Individual |
| Full Name | JUNGSUN SEO AHN |
| Other Name | JUNGSUN SEO |
| Credential | D.D.S. |
| Practice Address |
135 Boston Tpke Shrewsbury MA 01545 |
| Mailing Address |
1 Nashua St Apt 1202 Boston MA 02114-1611 |
| Practice Telephone | 5084253316 |
| Mailing Telephone | 2165436890 |
| Enumeration Date | 2017-03-10 |
| Last Update Date | 2018-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 32180 | TX | Dental Providers |
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DN1858023 | MA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Nashua St Apt 1202, Boston, MA 021141611 | 2165436890 | |
| 6155 Eckhert Rd, Unit 14110, San Antonio, TX 782402605 | 2165436890 |
| Street Address |
135 BOSTON TPKE |
| City | SHREWSBURY |
| State | MA |
| Zip Code | 01545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790063816 | Phil W. Chung | Dentist | 135 Boston Tpke, Shrewsbury, MA 01545-3603 | 2011-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790252716 | Kerri Mccarty | Pharmacist | 539-571 Boston Turnpike, Shrewsbury, MA 01545 | 2018-10-29 |
| 1710469127 | Emily Graves | Speech-Language Pathologist | 15 Fox Hill Road, Shrewsbury, MA 01545 | 2018-08-31 |
| 1558847780 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 720 Boston Tpke, Shrewsbury, MA 01545 | 2018-07-11 |
| 1023547718 | Anya Wolfe | Dentist | 193 Boston Tpke, Shrewsbury, MA 01545 | 2017-06-07 |
| 1992110506 | Careplus Transports LLC | Private Vehicle | 719 Grafton Street, Shrewsbury, MA 01545 | 2014-06-23 |
| 1699106328 | Marcienne Tallis Richardson | Registered Nurse | 415 Boston Turnpike, Shrewsbury, MA 01545 | 2013-12-05 |
| 1043555873 | Magdalena Barbara Farrell | Community Health Worker | 215 Lake St, Shrewsbury, MA 01545 | 2012-12-05 |
| 1639454507 | Amy Folta | Pharmacist | 225 Boston Trpk Road, Walgreens, Shrewsbury, MA 01545 | 2011-10-11 |
| 1205117710 | Shrewsbury Dental | Home Health | 16a Harrington Ave., Shrewsbury, MA 01545 | 2011-08-30 |
| 1639401334 | Shawn Fuller | Dentist | 193 Boston Tpke Ste 6140, Shrewsbury, MA 01545 | 2010-02-04 |
| Find all providers in zip 01545 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790063816 | Phil W. Chung | Dentist | 135 Boston Tpke, Shrewsbury, MA 01545-3603 | 2011-07-22 |
| 1851691000 | Happy Teeth Dental Care PC | Dentist | 135 Boston Turnpike Rd, Shrewsbury, MA 01545-3603 | 2010-10-21 |
| 1396065710 | Robert F. Mcguire | Dentist | 167 Avenue At The Cmn Ste 16, Shrewsbury, NJ 07702-4557 | 2010-06-08 |
| 1831277979 | Pediatric Dental Care | Dentist | 167 Avenue of The Cmn Ste 16, Shrewsbury, NJ 07702-4557 | 2006-11-02 |
| 1619981271 | Alisa R Feldman | Dentist | 24 Julio Drive, Shrewsbury, MA 01545 | 2006-07-28 |
| 1639324395 | Bryan Michael Graye | Dentist | 167 Avenue At The Cmn, Suite 16, Shrewsbury, NJ 07702-4805 | 2008-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437784378 | Braintree Dentistry and Braces PC | Dentist | 292 Grove St, Braintree, MA 02184-7209 | 2020-03-11 |
| 1326672791 | Azza Ahmed | Dentist | 635 Albany St. G-744, Boston, MA 02118 | 2020-02-25 |
| 1215575311 | Martha Forero | Dentist | 1 Kneeland St Fl 15, Boston, MA 02111-1527 | 2019-12-19 |
| 1215574694 | Nistar Pediatric Dentistry Pllc | Dentist | 76 Merrimack St Ste 8a, Haverhill, MA 01830-6246 | 2019-12-05 |
| 1952968729 | Hampshire Meadow Family & Pediatric Dentistry | Dentist | 207 Russell St Apt 18, Hadley, MA 01035-5907 | 2019-05-28 |
| 1801352661 | Lavoie Pediatric Dentistry | Dentist | 2200 Gar Hwy Ste 2, Swansea, MA 02777-3935 | 2019-02-18 |
| 1790254845 | Somerville Pediatric Dentistry and Orthodontics | Dentist | 51 Cross St, Somerville, MA 02145-3244 | 2018-11-19 |
| 1730660903 | Matthew Brian Harper | Dentist | 300 Longwood Ave Fl 4, Boston, MA 02115-5724 | 2018-08-27 |
| 1891286316 | Azadeh Sajjadi | Dentist | 29 Angela Ln, Watertown, MA 02472-1734 | 2018-05-21 |
| 1841789468 | Tiffany Juliana Lewis | Dentist | 413 Broadway Ste B, Methuen, MA 01844-2062 | 2018-05-09 |
| Find all providers with the same taxonomy | ||||
| City | SHREWSBURY |
| Zip Code | 01545 |
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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.