Jong Um DDS, Inc

General Practice Dentistry · Fairfield, CT

Organization Active NPI

NPI number 1265803431

Practice location

21 Sherman Ct
Fairfield, CT 06824-5825
Phone
(203) 255-0108

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NPI record

NPI
1265803431
Entity type
Organization (Type 2)
Enumeration date
October 14, 2015
Last updated
December 3, 2015
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 011496 CT

Authorized official

Name
Jong Um, DDS
Title
President
Phone
(860) 325-0022

Other names

  • D & L Dental Associates

About Jong Um DDS, Inc

Jong Um DDS, Inc is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 21 Sherman Ct, Fairfield, CT 06824-5825. The NPI number 1265803431 was assigned on October 14, 2015 and the record was last updated on December 3, 2015.

Jong Um DDS, Inc lists a license in the registry: #011496 (CT) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Jong Um, DDS, President.

Frequently asked questions

What is the NPI number of Jong Um DDS, Inc?

The NPI number is 1265803431.

What is the phone number of Jong Um DDS, Inc?

The phone number listed for the practice location is (203) 255-0108.

Where is Jong Um DDS, Inc located?

21 Sherman Ct, Fairfield, CT 06824-5825.

What is the taxonomy code for Jong Um DDS, Inc?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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