Active NPI
Bryan Taekyung Jung, DDS
- Dentist
- Damascus, MD
National Provider Identifier
1649864380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 17688
- Practice address
- 9815 Main St Ste 200
Damascus, MD 20872-2099 - Phone
- (301) 747-6543
- NPI assigned
- Feb 23, 2021
- Last updated
- Sep 10, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 17688 | MD | Primary |
| Dentist | 122300000X | 0401419913 | VA |
Addresses
Primary practice location
9815 Main St Ste 200
Damascus, MD 20872-2099
Mailing address
9815 Main St Ste 200
Damascus, MD 20872-2099
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0401419913 | VA | MD | Dentist |
| 17688 | MD | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1649864380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9815 MAIN ST STE 200",
"city": "DAMASCUS",
"state": "MD",
"postal_code": "208722099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9815 MAIN ST STE 200",
"city": "DAMASCUS",
"state": "MD",
"postal_code": "208722099",
"telephone_number": "301-747-6543"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNG",
"first_name": "BRYAN",
"middle_name": "TAEKYUNG",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-02-23",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MD",
"license": "17688",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "VA",
"license": "0401419913",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Damascus, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.