Jacob Sung, DDS, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

JACOB SUNG, DDS, PLLC

Practice address

16510 State Route 9 SE Ste 102
Snohomish, WA 98296-8370

Phone

(360) 863-3921

NPI assigned

Feb 6, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Jacob Sung, DDSNPI 1669887618

Title

Dentist

Phone

(425) 753-1476

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.

• Jacob Sung, DDS

  • Dentist
  • Snohomish, WA
  • NPI 1669887618
  NPD (past) Authorized official

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549411200000",
    "number": "1396200077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20932 42ND AVE SE UNIT A",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980217913",
            "telephone_number": "425-753-1476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16510 STATE ROUTE 9 SE STE 102",
            "city": "SNOHOMISH",
            "state": "WA",
            "postal_code": "982968370",
            "telephone_number": "360-863-3921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACOB SUNG, DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-02-06",
        "status": "A",
        "authorized_official_last_name": "SUNG",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "425-753-1476",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Integrative Health Alliance
• Ipsen Pharmacy Services LLC
• Dawn Marie Ipsen, PHARMD
• Lily Isaacson, LAC, EAMP
• J.B. Gwak, DDS, PLLC
• Skosh Jacobsen, M.A.
• Courtney Anne Jacobson, MSN, ARNP, AGNP-C
• Kristen Elizabeth Jacobson, LCSW
• Steven Jacobson, MD
• James to I DMD PS

• Dental Clinic/Center in Snohomish, WA
• Providers in Snohomish, WA by specialty
• Dental Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; 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.