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Dr. Jae Yong Jung
General Practice Dentistry in Manchester, Connecticut
NPI 1659788636

Jae Yong Jung is a General Practice Dentistry based in Andover, CT and is specialized in General Practice. Jae Yong Jung practices in Manchester, CT. The NPI Number for Jae Yong Jung is 1659788636 and holds a License No. 11194 (Connecticut).

The current practice location address for Jae Yong Jung is 179 Deming St Ste A, Manchester, CT and can be reached out via phone at 860-644-6500.

Location: 179 Deming St Ste A, Manchester, CT, 01810
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659788636
Provider Name
Jae Yong Jung
Credential
Provider Entity Type
Individual
Gender
Male
Address
179 Deming St Ste A, Manchester, CT, 01810
Phone Number
860-644-6500
Fax Number
Provider Enumeration Date
07/22/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
179 Deming St Ste A
City
Manchester
State
Connecticut
Zip
06042-7131
Phone Number
860-644-6500
Fax Number
person
Provider Business Mailing Address Details
Address
179 Deming St Ste A
City
Manchester
State
Connecticut
Zip
06042-7131
Phone Number
860-644-6500
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
11194 (Connecticut)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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