Ukjae Jung DDS Incorporated

Primary specialty

DentistTaxonomy code 122300000X

License

59393 Issued in CA

Legal business name

UKJAE JUNG DDS INCORPORATED

Doing business as

United Dental Group

Practice address

1227 W 17TH St
Santa Ana, CA 92706-3455

Phone

(714) 881-1441

Fax

(714) 881-1448

NPI assigned

Dec 4, 2014

Last updated

Dec 4, 2014By 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

Michelle Sandoval

Title

Insurance Coordinator

Phone

(714) 525-6900

Specialties & licenses 1

Addresses

Other names 1

• United Dental Group Doing business as

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

{
    "created_epoch": "1417651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417651200000",
    "number": "1720485832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 W 17TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927063455",
            "telephone_number": "714-881-1441",
            "fax_number": "714-881-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 W 17TH ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927063455",
            "telephone_number": "714-881-1441",
            "fax_number": "714-881-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UKJAE JUNG DDS INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-04",
        "last_updated": "2014-12-04",
        "status": "A",
        "authorized_official_last_name": "SANDOVAL",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "714-525-6900"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "59393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Eleonor Rivera Ubina, RN
• Alex Rufino Ucelo
• Mia Lomase Udarbe-Gustafson
• Ugarte Dental Corporation (Ugarte Family Dentistrey)
• Victor Andres Ugarte, D.D.S.
• Leslie Carolina Ulloa
• Mayra Ulloa, RD
• Ultimate HME, Inc.
• Alexander Tarcan Ulukaya
• Kianna Rae Tenza Umali

• Dentist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2014; 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.