Allen F. Jung, D.D.S.
Individual provider Active NPI General Practice Dentistry · Midlothian, IL
NPI 1619984952 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1619984952
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Practice address
- 4155 147TH St
Midlothian, IL 60445-3368 - Phone
- (708) 385-0990
- Fax
- (708) 385-0990
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019018400 | IL | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | IL | Yes |
Addresses
Primary practice location
4155 147TH St
Midlothian, IL 60445-3368
Mailing address
4155 147TH St
Midlothian, IL 60445-3368
Phone (708) 385-0990
Other providers in Midlothian, IL
- Megan Hofer
- Bernetta Hughey
- Dorothy M. Hunley-Adams
- Stacey A Hunt
- Paige Frances Ignatowicz
- Ken Mia Vision LLC
- Karen Kiffmeyer
- Mark Allan Kreis
- Jessica Kryza
- Kristen N Kubicz
All providers in Midlothian, IL · General Practice Dentistry in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.