Provider Demographics
NPI:1871291393
Name:DREAM DENTAL PARTNERS
Entity type:Organization
Organization Name:DREAM DENTAL PARTNERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HYUNSIK
Authorized Official - Middle Name:SAMUEL
Authorized Official - Last Name:SUNG
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:626-755-3751
Mailing Address - Street 1:901 ROSEMARY DR
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-5102
Mailing Address - Country:US
Mailing Address - Phone:626-755-3751
Mailing Address - Fax:
Practice Address - Street 1:4041 W WHEATLAND RD STE 202
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75237-4061
Practice Address - Country:US
Practice Address - Phone:626-755-3751
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-23
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223D0001XDental ProvidersDentistDental Public HealthGroup - Single Specialty