Ukjae Jung DDS Incorporated

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

59393 Issued in CA

Legal business name

UKJAE JUNG DDS INCORPORATED

Doing business as

United Dental Group

Practice address

18102 Pioneer Blvd
Artesia, CA 90701

Phone

(562) 865-9100

Fax

(562) 865-9140

NPI assigned

Jun 18, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ukjae Jung, DDS

Title

Owner

Phone

(562) 865-9100

Specialties & licenses 1

Addresses

Other names 1

• United Dental Group Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1043691769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18102 PIONEER BLVD",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "90701",
            "telephone_number": "562-865-9100",
            "fax_number": "562-865-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18102 PIONEER BLVD",
            "city": "ARTESIA",
            "state": "CA",
            "postal_code": "90701",
            "telephone_number": "562-865-9100",
            "fax_number": "562-865-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UKJAE JUNG DDS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "UKJAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-865-9100",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "59393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Primer Ignacio Bayani Usita, RDA
• Salinna Uy
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• Javier Villanueva, PTA

• General Practice Dentistry in Artesia, CA
• Providers in Artesia, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.