United Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

UNITED DENTAL CORPORATION

Practice address

10130 Garden Grove Blvd Ste 201
Garden Grove, CA 92844-1684

Phone

(714) 636-0088

NPI assigned

Dec 29, 2011

Organization subpart

No

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

Authorized official

Name

Jeong Hoon Kim

Title

Ceo, Cfo, & Secretary

Phone

(714) 636-0088

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ukjae Jung, D.D.S.

  • General Practice Dentistry
  • Garden Grove, CA
  • NPI 1326351966
  NPD (past)

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

{
    "created_epoch": "1325116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325116800000",
    "number": "1174892657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10130 GARDEN GROVE BLVD STE 201",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10130 GARDEN GROVE BLVD STE 201",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928441684",
            "telephone_number": "714-636-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-29",
        "last_updated": "2011-12-29",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JEONG",
        "authorized_official_middle_name": "HOON",
        "authorized_official_title_or_position": "CEO, CFO, & SECRETARY",
        "authorized_official_telephone_number": "714-636-0088"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "126800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Unidos Recovery Home
• Unidos Recovery Home
• Unified Hospice Care, LLC
• Unique Quality Inc. (Unique Quality Care)
• United Community Acupuncture, Inc.
• United Integrity Home Health, Inc.
• United Medical Imaging Healthcare, Inc. (United Medical Imaging of Garden Grove)
• United Medical Radiology Network (United Medical Radiology Network of Garden Grove)
• Universal Care
• Universal Care

• Dentist in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.