Dr. Jae Yong Jung
Dentist, General Practice in Manchester, Connecticut
1659788636- Practice location
- 179 Deming St Ste A, Manchester, CT 06042-7131
- Phone
- 860-644-6500
- Fax
- —
- Last updated
- March 17, 2018
Jae Yong Jung is a Dentist, General Practice based in Manchester, CT. Jae Yong Jung practices in Manchester, CT. The NPI Number for Jae Yong Jung is 1659788636 and holds a License No. 11194 (CT). The current practice location address for Jae Yong Jung is 179 Deming St Ste A, Manchester, CT 06042-7131 and can be reached out via phone at 860-644-6500.
Provider Profile Details
- NPI Number
- 1659788636
- Provider Name
- Jae Yong Jung
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 179 Deming St Ste A, Manchester, CT 06042-7131
- Phone Number
- 860-644-6500
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 22, 2014
- Last Update Date
- March 17, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 179 Deming St Ste A
Manchester, CT 06042-7131 - City
- Manchester
- State
- Connecticut
- Zip
- 06042-7131
- Phone Number
- 860-644-6500
Provider Business Mailing Address Details
- Address
- 19 Ivana Drive
Andover, MA 01810 - City
- Andover
- State
- MA
- Zip
- 01810
License Information
- License Number
- 11194
- License State
- CT
- Taxonomy
- 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. | |||
Other Dentist, General Practice providers near Manchester, CT
View all Dentist, General Practice providers in Manchester →Frequently Asked Questions
What is the NPI number of Dr. Jae Yong Jung?
The NPI number of Dr. Jae Yong Jung is 1659788636. It was assigned on July 22, 2014 and is currently active in the NPPES registry.
What is the specialty of Dr. Jae Yong Jung?
Dr. Jae Yong Jung is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 11194.
Where does Dr. Jae Yong Jung practice?
The practice location is 179 Deming St Ste A, Manchester, CT 06042-7131. The office can be reached at 860-644-6500 (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 1659788636 directly on the NPPES registry website.