Jong Um DDS Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

006792 Issued in CT

Legal business name

JONG UM DDS INC

Practice address

21 Sherman CT
Fairfield, CT 06824-5825

Phone

(203) 255-0108

Fax

(203) 255-1239

NPI assigned

May 20, 2009

Last updated

Dec 7, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jong Um

Title

President

Phone

(203) 255-0108

Specialties & licenses 2

Addresses

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

  dba D & L Dental Associates

  • General Practice Dentistry
  • Fairfield, CT
  • NPI 1265803431
  NPD tax ID

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449446400000",
    "number": "1346475316",
    "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",
            "telephone_number": "203-255-0108",
            "fax_number": "203-255-1239"
        },
        {
            "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",
            "fax_number": "203-255-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONG UM DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-20",
        "last_updated": "2015-12-07",
        "status": "A",
        "authorized_official_last_name": "UM",
        "authorized_official_first_name": "JONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-255-0108",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "007375",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "006792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Junior Johnson, ND
• Lindsay Johnson, MSOT
• Pandora L Johnson, LCSW
• Beth Jones, MS, CCC-SLP
• Erin Jones, PT, DPT
• Jong Um DDS, Inc (D & L Dental Associates)
• Joseph Zerella DMD, MDS, LLC
• Joseph Zerella DMD, MDS, LLC (Fairfield County Implants & Periodontics)
• Rachel Josovitz, LCSW
• Catherine Elizabeth Joyce

• 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 7, 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.