Jason Hong, DDS
Individual provider Active NPI General Practice Dentistry · Clarendon Hills, IL
NPI 1801985304 · NPPES record last updated Feb 19, 2021
Key facts
- NPI
- 1801985304
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 019-026661 (IL)
- Practice address
- 53 Ogden Ave
Clarendon Hills, IL 60514-1026 - Phone
- (630) 789-1555
- Fax
- (630) 789-9825
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- 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 |
|---|---|---|---|
| 019-026661 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jason Hong, DDS & Kathy Lam, DDS, P.C. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019-026661 | IL | Yes |
Addresses
Primary practice location
53 Ogden Ave
Clarendon Hills, IL 60514-1026
Mailing address
53 Ogden Ave
Clarendon Hills, IL 60514-1026
Phone (630) 789-1555
Other providers in Clarendon Hills, IL
- William Bryan Hamel III
- Mary Beth Hastings
- Jeff Hawkins
- Rhiannon Hinckley
- Hive Counseling Group
- Yvonne Honings
- Dennis Lee Hook
- Intellegere Clinical Lab LLC
- Jmed Health Inc.
- Catherine Johnson
All providers in Clarendon Hills, 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 Feb 19, 2021. 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.