E. Jang Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

License

48468 Issued in CA

Legal business name

E. JANG DENTAL CORPORATION

Practice address

7138 Willow St
Sebastopol, CA 95472-4306

Phone

(707) 823-5308

Fax

(707) 823-5256

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Eun Sub Jang, DDS

Title

Dentist

Phone

(707) 823-5308

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Eun Sub Jang, D. D. S.

  • General Practice Dentistry
  • Sebastopol, CA
  • NPI 1467599274
  NPD (past)
• Jason Sangjae Lee, D.D.S.

  • Dentist
  • Sebastopol, CA
  • NPI 1942605969
  NPD (past)

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1255474946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7138 WILLOW ST",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954724306",
            "telephone_number": "707-823-5308",
            "fax_number": "707-823-5256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7138 WILLOW ST",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954724306",
            "telephone_number": "707-823-5308",
            "fax_number": "707-823-5256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E. JANG DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "JANG",
        "authorized_official_first_name": "EUN",
        "authorized_official_middle_name": "SUB",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "707-823-5308",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "48468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Drier, M.D.
• Gail Monica Dubinsky, MD
• Roseanna M Duenas, P.A.-C
• Jeannie Dulberg, LMFT
• Richard Alan Durr, LMFT
• Kenneth Economy, MD
• Kim Victoria Edwards
• Kyla Wolff Ehrenreich, PA-C
• Amanda Elderkin, CPM, LM
• Gerald Eugene Eliaser, M.D.

• Dentist in Sebastopol, CA
• Providers in Sebastopol, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; 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.