Mark Jungdahl, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

16076 Issued in OH

Practice address

1035 Summitt SQ
Middletown, OH 45042-3464

Phone

(513) 424-5339

Fax

(513) 422-1646

NPI assigned

Oct 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Maclean & Jungdahl, DMD, Inc

  • Public Health Dentistry
  • Middletown, OH
  • NPI 1467797134
  NPD (past)
• Mark D. Jungdahl DMD Inc.

  • General Practice Dentistry
  • Middletown, OH
  • NPI 1396959508
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851481329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 SUMMITT SQ",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450423464",
            "telephone_number": "513-424-5339",
            "fax_number": "513-422-1646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 SUMMITT SQ",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450423464",
            "telephone_number": "513-424-5339",
            "fax_number": "513-422-1646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNGDAHL",
        "first_name": "MARK",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "16076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alissa J Joseph
• Valerie Joseph, LPN
• JRM Caregiving, LLC
• Chelsea Athena Judd
• Marie Esther Jules, MD
• K&E Advanced Dentistry GPS LLC
• Sameep P. Kadakia, MD
• Shari E Kahny
• James Stanley Kalbaugh, P.A.-C.
• Viviane Kamdem

• General Practice Dentistry in Middletown, OH
• Providers in Middletown, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.