Snow White Dental Office, Weonsuk Jang, D.M.D., Inc.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

50473 Issued in CA

Legal business name

SNOW WHITE DENTAL OFFICE, WEONSUK JANG, D.M.D., INC.

Practice address

6416 Tupelo Dr
Citrus Heights, CA 95621-1741

Phone

(916) 729-1441

Fax

(916) 729-1551

NPI assigned

Oct 15, 2007

Organization subpart

No

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

Authorized official

Name

Weonsuk Jang, D.M.D.NPI 1972630374

Title

Owner

Phone

(916) 729-1441

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.

• Weonsuk Jang, DMD

  • General Practice Dentistry
  • Citrus Heights, CA
  • NPI 1972630374
  NPD (past) Authorized official

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

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1306035456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6416 TUPELO DR",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956211741",
            "telephone_number": "916-729-1441",
            "fax_number": "916-729-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6416 TUPELO DR",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956211741",
            "telephone_number": "916-729-1441",
            "fax_number": "916-729-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNOW WHITE DENTAL OFFICE, WEONSUK JANG, D.M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "JANG",
        "authorized_official_first_name": "WEONSUK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-729-1441",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "50473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tausha Shirea Smith
• Tawny Bee Smith, RN
• Texas Lee Smith, O.D.
• Trinity Smith
• Stacey Snell
• Mahnoor Sohail
• Shawna Sok
• Rosario Janet Solis Martinez
• Daniel Lee Solorzano
• Lisa Somkopulos

• General Practice Dentistry in Citrus Heights, CA
• Providers in Citrus Heights, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.