Bolbo Jung, DMD
Dentist, Pediatric Dentistry in Mount Laurel Township, New Jersey
1073174074- Practice location
- 3107 Nj-38, #2, Mount Laurel Township, NJ 08054-0805
- Phone
- 856-778-0800
- Fax
- —
- Last updated
- January 16, 2024
Bolbo Jung is a Dentist, Pediatric Dentistry based in Mount Laurel Township, NJ. Bolbo Jung practices in Mount Laurel Township, NJ and has the professional credentials of DMD. The NPI Number for Bolbo Jung is 1073174074 and holds a License No. 22DI02852000 (NJ). The current practice location address for Bolbo Jung is 3107 Nj-38, #2, Mount Laurel Township, NJ 08054-0805 and can be reached out via phone at 856-778-0800.
Provider Profile Details
- NPI Number
- 1073174074
- Provider Name
- Bolbo Jung
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 3107 Nj-38, #2, Mount Laurel Township, NJ 08054-0805
- Phone Number
- 856-778-0800
- Primary Taxonomy
- Dentist, Pediatric Dentistry · 1223P0221X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 21, 2019
- Last Update Date
- January 16, 2024
- Certification Date
- January 12, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3107 Nj-38
#2
Mount Laurel Township, NJ 08054-0805 - State
- New Jersey
- Zip
- 08054-0805
- Phone Number
- 856-778-0800
Provider Business Mailing Address Details
- Address
- 3107 Nj-38
#2
Mount Laurel Township, NJ 08054 - City
- Mount Laurel Township
- State
- NJ
- Zip
- 08054
- Phone Number
- 856-778-0800
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 22DI02852000
- License State (2)
- NJ
- Taxonomy (2)
- Dentist, Pediatric Dentistry · 1223P0221X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Pediatric Dentistry providers near Mount Laurel Township, NJ
View all Dentist, Pediatric Dentistry providers in Mount Laurel Township →Frequently Asked Questions
What is the NPI number of Bolbo Jung, DMD?
The NPI number of Bolbo Jung, DMD is 1073174074. It was assigned on June 21, 2019 and is currently active in the NPPES registry.
What is the specialty of Bolbo Jung, DMD?
Bolbo Jung, DMD is registered under the primary taxonomy Dentist, Pediatric Dentistry (code 1223P0221X), licensed in NJ under license number 22DI02852000.
Where does Bolbo Jung, DMD practice?
The practice location is 3107 Nj-38, #2, Mount Laurel Township, NJ 08054-0805. The office can be reached at 856-778-0800 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073174074 directly on the NPPES registry website.