Jonghee M Hong, DMD

Individual provider Active NPI General Practice Dentistry · Ashland, MA

NPI 1811097488 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1811097488
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
20008 (MA)
Practice address
171 Main St
Suite 102
Ashland, MA 01721-1187
Phone
(508) 881-7272
Fax
(508) 881-7274
NPI assigned
Sep 24, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
20008MAMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 20008 MA Yes

Addresses

Primary practice location

171 Main St
Suite 102
Ashland, MA 01721-1187

Mailing address

171 Main St
Suite 102
Ashland, MA 01721-1187
Phone (508) 881-7272

Other providers in Ashland, MA

All providers in Ashland, MA · General Practice Dentistry in Massachusetts

Sources for this page

Verify at the official NPI Registry.