Active NPIOrganization

Jong Um DDS, INC

Dentist, General Practice in Fairfield, Connecticut

NPI Number1265803431
Practice location
21 Sherman CT, Fairfield, CT 06824-5825
Fax
—
Last updated
December 3, 2015

Jong Um DDS, INC is a healthcare organization based in Fairfield, CT. Jong Um DDS, INC practices in Fairfield, CT. The NPI Number for Jong Um DDS, INC is 1265803431 and holds a License No. 011496 (CT). The current practice location address for Jong Um DDS, INC is 21 Sherman CT, Fairfield, CT 06824-5825 and can be reached out via phone at 203-255-0108.

Provider Profile Details

NPI Number
1265803431
Provider Name
Jong Um DDS, INC
Provider Entity Type
Organization
Address
21 Sherman CT, Fairfield, CT 06824-5825
Phone Number
203-255-0108
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Jong Um, DDS · President · 860-325-0022
Other Names
D & L Dental Associates (Doing Business As)
Provider Enumeration Date
October 14, 2015
Last Update Date
December 3, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
21 Sherman CT
Fairfield, CT 06824-5825
Zip
06824-5825
Phone Number
203-255-0108
Fairfield, CT 06824Get directions →

Provider Business Mailing Address Details

Address
21 Sherman CT
Fairfield, CT 06824-5825
City
Fairfield
State
CT
Zip
06824-5825

License Information

License Number
011496
License State
CT
Taxonomy
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 Jong Um DDS, INC?

The NPI number of Jong Um DDS, INC is 1265803431. It was assigned on October 14, 2015 and is currently active in the NPPES registry.

What is the specialty of Jong Um DDS, INC?

Jong Um DDS, INC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 011496.

Where does Jong Um DDS, INC practice?

The practice location is 21 Sherman CT, Fairfield, CT 06824-5825. The office can be reached at 203-255-0108 (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 1265803431 directly on the NPPES registry website.

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