Jong Um DDS, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 20702 Issued in FL

Legal business name

JONG UM DDS, INC

Practice address

9312 La Bianco St
Fort Myers, FL 33967-5641

Phone

(860) 325-0022

NPI assigned

May 6, 2015

Organization subpart

No

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

Authorized official

Name

Jong Um, DDS

Title

President

Phone

(860) 325-0022

Specialties & licenses 1

Addresses

Other names 1

• Same Day Dental PA Doing business as

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430870400000",
    "number": "1104204445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9312 LA BIANCO ST",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339675641",
            "telephone_number": "860-325-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9312 LA BIANCO ST",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339675641",
            "telephone_number": "860-325-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONG UM DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2015-05-06",
        "status": "A",
        "authorized_official_last_name": "UM",
        "authorized_official_first_name": "JONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-325-0022",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 20702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Same Day Dental PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lori Jones, LCSW
• Nichole Olivia Jones, M.A.
• Nicole I. Jones, PA-C
• Sherrie L Jones, ARNP
• Tyler William Jones, APRN
• Sweta Jonnalagadda, M.D.
• Jeffrey Jordan, PA
• Kortney Jordan
• Nina T Jordania, MD
• Joseph F Mazza Jr MD PA

• General Practice Dentistry in Fort Myers, FL
• Providers in Fort Myers, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.