So Mee Jung, DDS
Individual provider Active NPI Dentist · Finksburg, MD
NPI 1669948105 · NPPES record last updated Oct 23, 2018
Key facts
- NPI
- 1669948105
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 16521 (MD)
- Practice address
- 2029 Suffolk Rd Ste a
Finksburg, MD 21048-1630 - Phone
- (410) 861-8900
- NPI assigned
- Oct 23, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| 16521 | MD | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Associates, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 16521 | MD | Yes |
Addresses
Primary practice location
2029 Suffolk Rd Ste a
Finksburg, MD 21048-1630
Mailing address
7221 Greenfitch Way
Hanover, MD 21076-2166
Other providers in Finksburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2018. 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.