Active NPIIndividual providerSole proprietor

Wonwoo Jang, DDS

Dentist, General Practice in Palisades Park, New Jersey

NPI Number1114266947
Practice location
18A E Washington Pl, Palisades Park, NJ 07650-3620
Fax
—
Last updated
October 31, 2022

Wonwoo Jang is a Dentist, General Practice based in Palisades Park, NJ. Wonwoo Jang practices in Palisades Park, NJ and has the professional credentials of DDS. The NPI Number for Wonwoo Jang is 1114266947 and holds a License No. 057695 (NY). The current practice location address for Wonwoo Jang is 18A E Washington Pl, Palisades Park, NJ 07650-3620 and can be reached out via phone at 917-921-9112.

Provider Profile Details

NPI Number
1114266947
Provider Name
Wonwoo Jang
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
18A E Washington Pl, Palisades Park, NJ 07650-3620
Phone Number
917-921-9112
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
February 14, 2013
Last Update Date
October 31, 2022
Certification Date
October 31, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
18A E Washington Pl
Palisades Park, NJ 07650-3620
Zip
07650-3620
Phone Number
917-921-9112
Palisades Park, NJ 07650Get directions →

Provider Business Mailing Address Details

Address
18A E Washington Pl
Palisades Park, NJ 07650-3620
City
Palisades Park
State
NJ
Zip
07650-3620
Phone Number
917-921-9112

License Information

License Number (1)
057695
License State (1)
NY
Taxonomy (1)
Dentist, Periodontics · 1223P0300X
License Number (2)
DN1857350
License State (2)
MA
Taxonomy (2)
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Wonwoo Jang, DDS?

The NPI number of Wonwoo Jang, DDS is 1114266947. It was assigned on February 14, 2013 and is currently active in the NPPES registry.

What is the specialty of Wonwoo Jang, DDS?

Wonwoo Jang, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NY under license number 057695.

Where does Wonwoo Jang, DDS practice?

The practice location is 18A E Washington Pl, Palisades Park, NJ 07650-3620. The office can be reached at 917-921-9112 (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 1114266947 directly on the NPPES registry website.

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