Provider Demographics
NPI:1558747196
Name:HWANG, SEUNGAH
Entity type:Individual
Prefix:
First Name:SEUNGAH
Middle Name:
Last Name:HWANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SEUNGAH
Other - Middle Name:
Other - Last Name:KANG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DMD
Mailing Address - Street 1:1545 E MAIN ST STE 200
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-4489
Mailing Address - Country:US
Mailing Address - Phone:214-495-7900
Mailing Address - Fax:
Practice Address - Street 1:1545 E MAIN ST STE 200
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75002-4489
Practice Address - Country:US
Practice Address - Phone:214-495-7900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-05
Last Update Date:2025-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX30598122300000X
NJ22DI02589100122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist