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Phoebe Y Sun, DMD

Dentist, General Practice in Georgetown, KY. Individual provider (NPI-1).

NPI number1669910592
StatusActive
Last updated in NPPESFeb 21, 2020

Details

NPI
1669910592
Entity type
Individual (NPI-1)
Name
Phoebe Y Sun
Credential
DMD
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 12, 2017
Certification date
Feb 21, 2020
Last updated
Feb 21, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice10074KYYes

Practice location

203 Champion Way Ste 6
Georgetown, KY 40324-8861

Phone 502-868-5999

Mailing address

203 Champion Way Ste 6
Georgetown, KY 40324-8861

Phone 732-763-1601

Other practice locations

1721 Patterson St
Nashville, TN 37203-2925

Phone 732-763-1601

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