So Good Dentistry PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SO GOOD DENTISTRY PC

Practice address

891 Palisade Ave
Fort Lee, NJ 07024-4122

Phone

(201) 947-8168

NPI assigned

Jan 20, 2022

Organization subpart

No

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

Authorized official

Name

Sohyoun Jun, DMDNPI 1629395413

Title

Owner

Phone

(201) 947-8168

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sohyoun Jun, DMD

  • Dentist
  • Fort Lee, NJ
  • NPI 1629395413
  NPD Authorized official

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1215689245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 PALISADE AVE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244122",
            "telephone_number": "201-947-8168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 PALISADE AVE",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070244122",
            "telephone_number": "201-947-8168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SO GOOD DENTISTRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "JUN",
        "authorized_official_first_name": "SOHYOUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-947-8168",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Fort Lee, NJ
• Providers in Fort Lee, NJ by specialty
• Dental Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.