Seung S Jung DDS MDS PA

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SEUNG S JUNG DDS MDS PA

Practice address

8927 JM Keynes Dr
#330
Charlotte, NC 28262

Phone

(704) 594-9808

Fax

(704) 594-9807

NPI assigned

Dec 5, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Seung Soo Jung, DDS MDS

Title

President

Phone

(704) 594-9808

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1831257435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8927 JM KEYNES DR",
            "address_2": "#330",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28262",
            "telephone_number": "704-594-9808",
            "fax_number": "704-594-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8927 JM KEYNES DR",
            "address_2": "#330",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28262",
            "telephone_number": "704-594-9808",
            "fax_number": "704-594-9807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEUNG S JUNG DDS MDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "JUNG",
        "authorized_official_first_name": "SEUNG",
        "authorized_official_middle_name": "SOO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-594-9808",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS  MDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.