Jong Um DDS, Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

011496 Issued in CT

Legal business name

JONG UM DDS, INC

Practice address

21 Sherman CT
Fairfield, CT 06824-5825

Phone

(203) 255-0108

NPI assigned

Oct 14, 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, DDSNPI 1720492184

Title

President

Phone

(860) 325-0022

Specialties & licenses 1

Addresses

Other names 1

• D & L Dental Associates Doing business as

Tax ID family

D L Dental Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Jong Um DDS Inc

  • General Practice Dentistry
  • Fairfield, CT
  • NPI 1346475316
  NPD tax ID

Practitioners 1

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

• Jong Um, DDS

  • Dentist
  • Cypress, CA
  • NPI 1720492184

  General Practice

  NPD (past) Authorized official

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

{
    "created_epoch": "1444780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449100800000",
    "number": "1265803431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 SHERMAN CT",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 SHERMAN CT",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245825",
            "telephone_number": "203-255-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONG UM DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-14",
        "last_updated": "2015-12-03",
        "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "011496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D & L Dental Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lindsay Johnson, MSOT
• Pandora L Johnson, LCSW
• Beth Jones, MS, CCC-SLP
• Erin Jones, PT, DPT
• Jong Um DDS Inc
• Joseph Zerella DMD, MDS, LLC
• Rachel Josovitz, LCSW
• Catherine Elizabeth Joyce
• Judge CT Dental PC
• Sydney Marie Judkins, ATC, LAT

• General Practice Dentistry in Fairfield, CT
• Providers in Fairfield, CT by specialty
• General Practice Dentistry in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.