Active NPIIndividual provider

Dr. Sung Joo Jeong, DDS

Dentist in Pennsauken, New Jersey

NPI Number1427015874
Practice location
6650 Browning RD Rm U15, Pennsauken, NJ 08109
Fax
856-324-0503
Last updated
October 23, 2019

Sung Joo Jeong is a Dentist based in Pennsauken, NJ. Sung Joo Jeong practices in Pennsauken, NJ and has the professional credentials of DDS. The NPI Number for Sung Joo Jeong is 1427015874 and holds a License No. DS036185 (PA). The current practice location address for Sung Joo Jeong is 6650 Browning RD Rm U15, Pennsauken, NJ 08109 and can be reached out via phone at 856-324-0777 and via fax at 856-324-0503.

Provider Profile Details

NPI Number
1427015874
Provider Name
Sung Joo Jeong
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
6650 Browning RD Rm U15, Pennsauken, NJ 08109
Phone Number
856-324-0777
Fax Number
856-324-0503
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
April 28, 2006
Last Update Date
October 23, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
6650 Browning RD Rm U15
Pennsauken, NJ 08109
Zip
08109
Phone Number
856-324-0777
Fax Number
856-324-0503
Pennsauken, NJ 08109Get directions →

Provider Business Mailing Address Details

Address
6650 Browning RD Rm U15
Pennsauken, NJ 08109-1479
City
Pennsauken
State
NJ
Zip
08109-1479
Phone Number
856-324-0777
Fax Number
856-324-0503

License Information

License Number (1)
DS036185
License State (1)
PA
Taxonomy (1)
Dentist, General Practice · 1223G0001X
License Number (2)
22DI02709200
License State (2)
NJ
Taxonomy (2)
Dentist · 122300000X · 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 Dr. Sung Joo Jeong, DDS?

The NPI number of Dr. Sung Joo Jeong, DDS is 1427015874. It was assigned on April 28, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Sung Joo Jeong, DDS?

Dr. Sung Joo Jeong, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in PA under license number DS036185.

Where does Dr. Sung Joo Jeong, DDS practice?

The practice location is 6650 Browning RD Rm U15, Pennsauken, NJ 08109. The office can be reached at 856-324-0777 (phone) or 856-324-0503 (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 1427015874 directly on the NPPES registry website.

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