Dr. Priscilla Jung, DMD
Dentist, General Practice in Bloomfield, New Jersey
1114594025- Practice location
- 1455 Broad St Ste 105, Bloomfield, NJ 07003-3039
- Phone
- 862-702-5234
- Fax
- —
- Last updated
- October 13, 2022
Priscilla Jung is a Dentist, General Practice based in Bloomfield, NJ. Priscilla Jung practices in Bloomfield, NJ and has the professional credentials of DMD. The NPI Number for Priscilla Jung is 1114594025 and holds a License No. 22DI02872900 (NJ). The current practice location address for Priscilla Jung is 1455 Broad St Ste 105, Bloomfield, NJ 07003-3039 and can be reached out via phone at 862-702-5234.
Provider Profile Details
- NPI Number
- 1114594025
- Provider Name
- Priscilla Jung
- Credential
- DMD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1455 Broad St Ste 105, Bloomfield, NJ 07003-3039
- Phone Number
- 862-702-5234
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 9, 2021
- Last Update Date
- October 13, 2022
- Certification Date
- October 13, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1455 Broad St Ste 105
Bloomfield, NJ 07003-3039 - City
- Bloomfield
- State
- New Jersey
- Zip
- 07003-3039
- Phone Number
- 862-702-5234
Provider Business Mailing Address Details
- Address
- 1455 Broad St Ste 105
Bloomfield, NJ 07003-3039 - City
- Bloomfield
- State
- NJ
- Zip
- 07003-3039
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 22DI02872900
- License State (2)
- NJ
- Taxonomy (2)
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Dr. Priscilla Jung, DMD?
The NPI number of Dr. Priscilla Jung, DMD is 1114594025. It was assigned on June 9, 2021 and is currently active in the NPPES registry.
What is the specialty of Dr. Priscilla Jung, DMD?
Dr. Priscilla Jung, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NJ under license number 22DI02872900.
Where does Dr. Priscilla Jung, DMD practice?
The practice location is 1455 Broad St Ste 105, Bloomfield, NJ 07003-3039. The office can be reached at 862-702-5234 (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 1114594025 directly on the NPPES registry website.