- Practice location
- 644 Mt. Prospect Ave, Newark, NJ 07104
- Phone
- 973-481-3900
- Fax
- —
- Last updated
- July 8, 2007
Jaemyun So is a Dentist based in Newark, NJ. Jaemyun So practices in Newark, NJ. The NPI Number for Jaemyun So is 1831313493 and holds a License No. 22574 (NJ). The current practice location address for Jaemyun So is 644 Mt. Prospect Ave, Newark, NJ 07104 and can be reached out via phone at 973-481-3900.
Provider Profile Details
- NPI Number
- 1831313493
- Provider Name
- Jaemyun So
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 644 Mt. Prospect Ave, Newark, NJ 07104
- Phone Number
- 973-481-3900
- Primary Taxonomy
- Dentist · 122300000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 12, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 644 Mt. Prospect Ave
Newark, NJ 07104 - City
- Newark
- State
- New Jersey
- Zip
- 07104
- Phone Number
- 973-481-3900
Provider Business Mailing Address Details
- Address
- 314 Hancock CT
Edgewater, NJ 07020-1604 - City
- Edgewater
- State
- NJ
- Zip
- 07020-1604
- Phone Number
- 973-481-3900
License Information
- License Number
- 22574
- License State
- NJ
- Taxonomy
- Dentist · 122300000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentists near Newark, NJ
View all Dentists in Newark →Frequently Asked Questions
What is the NPI number of Jaemyun So?
The NPI number of Jaemyun So is 1831313493. It was assigned on April 12, 2007 and is currently active in the NPPES registry.
What is the specialty of Jaemyun So?
Jaemyun So is registered under the primary taxonomy Dentist (code 122300000X), licensed in NJ under license number 22574.
Where does Jaemyun So practice?
The practice location is 644 Mt. Prospect Ave, Newark, NJ 07104. The office can be reached at 973-481-3900 (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 1831313493 directly on the NPPES registry website.