Provider Demographics
NPI:1447446877
Name:YOO, ALBERT (DDS)
Entity type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:
Last Name:YOO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 SOUTH LIVINGSTON AVENUE
Mailing Address - Street 2:SUITE 110
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039
Mailing Address - Country:US
Mailing Address - Phone:973-994-9995
Mailing Address - Fax:973-994-1991
Practice Address - Street 1:160 SOUTH LIVINGSTON AVENUE
Practice Address - Street 2:SUITE 110
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039
Practice Address - Country:US
Practice Address - Phone:973-994-9995
Practice Address - Fax:973-994-1991
Is Sole Proprietor?:No
Enumeration Date:2007-09-19
Last Update Date:2008-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0521531223P0300X
NJDI023827001223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics