Jong Um DDS INC
Dentist, General Practice in Fairfield, Connecticut
1346475316- Practice location
- 21 Sherman CT, Fairfield, CT 06824-5825
- Phone
- 203-255-0108
- Fax
- 203-255-1239
- Last updated
- December 7, 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 1346475316 and holds a License No. 007375 (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 and via fax at 203-255-1239.
Provider Profile Details
- NPI Number
- 1346475316
- Provider Name
- Jong Um DDS INC
- Provider Entity Type
- Organization
- Address
- 21 Sherman CT, Fairfield, CT 06824-5825
- Phone Number
- 203-255-0108
- Fax Number
- 203-255-1239
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Dr. Jong Um · President · 203-255-0108
- Provider Enumeration Date
- May 20, 2009
- Last Update Date
- December 7, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 21 Sherman CT
Fairfield, CT 06824-5825 - City
- Fairfield
- State
- Connecticut
- Zip
- 06824-5825
- Phone Number
- 203-255-0108
- Fax Number
- 203-255-1239
Provider Business Mailing Address Details
- Address
- 21 Sherman CT
Fairfield, CT 06824-5825 - City
- Fairfield
- State
- CT
- Zip
- 06824-5825
- Phone Number
- 203-255-0108
- Fax Number
- 203-255-1239
License Information
- License Number (1)
- 007375
- License State (1)
- CT
- Taxonomy (1)
- Dentist, General Practice · 1223G0001X
- License Number (2)
- 006792
- License State (2)
- CT
- 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 Jong Um DDS INC?
The NPI number of Jong Um DDS INC is 1346475316. It was assigned on May 20, 2009 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 007375.
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) or 203-255-1239 (fax).
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 1346475316 directly on the NPPES registry website.