Dr. Jiyeon Chung, DDS, MS
Dentist, Periodontics in Fair Lawn, New Jersey
1942400791- Practice location
- 22 Wilcox Pl, Fair Lawn, NJ 07410-5516
- Phone
- 917-903-2733
- Fax
- —
- Last updated
- August 26, 2015
Jiyeon Chung is a Dentist, Periodontics based in Fair Lawn, NJ. Jiyeon Chung practices in Fair Lawn, NJ and has the professional credentials of DDS, MS. The NPI Number for Jiyeon Chung is 1942400791 and holds a License No. 051945 (NY). The current practice location address for Jiyeon Chung is 22 Wilcox Pl, Fair Lawn, NJ 07410-5516 and can be reached out via phone at 917-903-2733.
Provider Profile Details
- NPI Number
- 1942400791
- Provider Name
- Jiyeon Chung
- Credential
- DDS, MS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 22 Wilcox Pl, Fair Lawn, NJ 07410-5516
- Phone Number
- 917-903-2733
- Primary Taxonomy
- Dentist, Periodontics · 1223P0300X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 19, 2007
- Last Update Date
- August 26, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 22 Wilcox Pl
Fair Lawn, NJ 07410-5516 - City
- Fair Lawn
- State
- New Jersey
- Zip
- 07410-5516
- Phone Number
- 917-903-2733
Provider Business Mailing Address Details
- Address
- 150 Stonegate Trl
Cresskill, NJ 07626-2412 - City
- Cresskill
- State
- NJ
- Zip
- 07626-2412
- Phone Number
- 917-903-2733
License Information
- License Number (1)
- 051945
- License State (1)
- NY
- Taxonomy (1)
- Dentist, Periodontics · 1223P0300X · Primary
- License Number (2)
- 02331100
- License State (2)
- NJ
- Taxonomy (2)
- Dentist, Periodontics · 1223P0300X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Periodontics providers near Fair Lawn, NJ
View all Dentist, Periodontics providers in Fair Lawn →Frequently Asked Questions
What is the NPI number of Dr. Jiyeon Chung, DDS, MS?
The NPI number of Dr. Jiyeon Chung, DDS, MS is 1942400791. It was assigned on July 19, 2007 and is currently active in the NPPES registry.
What is the specialty of Dr. Jiyeon Chung, DDS, MS?
Dr. Jiyeon Chung, DDS, MS is registered under the primary taxonomy Dentist, Periodontics (code 1223P0300X), licensed in NY under license number 051945.
Where does Dr. Jiyeon Chung, DDS, MS practice?
The practice location is 22 Wilcox Pl, Fair Lawn, NJ 07410-5516. The office can be reached at 917-903-2733 (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 1942400791 directly on the NPPES registry website.