Individual provider Active NPI

Shawn Seok-Hun Jung

  • Endodontics
  • Cottage Grove, MN
National Provider Identifier
1952896417
Registry record updated Aug 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
S241 Issued in MN
Practice address
7240 E Point Douglas Rd S Ste 150
Cottage Grove, MN 55016-3021
Phone
(651) 352-4628
NPI assigned
Jun 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X S241 MN Primary
Dentist 122300000X 019.031676 IL

Addresses

Primary practice location

7240 E Point Douglas Rd S Ste 150
Cottage Grove, MN 55016-3021

Mailing address

6901 Flying Cloud Dr Apt 212
Eden Prairie, MN 55344-4706
Phone (630) 445-3994

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019.031676ILMDDentist
FJ8407795MNMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Cottage Grove Smiles Dentistry, PC CurrentSince Aug 10, 2025 Accepting new patients

Locations

7240 E Point Douglas Rd S
Ste 150
Cottage Grove, MN 55016
Phone (651) 352-4628

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1530057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787961600000",
    "number": "1952896417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 FLYING CLOUD DR APT 212",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553444706",
            "telephone_number": "630-445-3994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7240 E POINT DOUGLAS RD S STE 150",
            "city": "COTTAGE GROVE",
            "state": "MN",
            "postal_code": "550163021",
            "telephone_number": "651-352-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "SHAWN",
        "middle_name": "SEOK-HUN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-27",
        "last_updated": "2026-08-29",
        "certification_date": "2026-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "MN",
            "license": "S241",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019.031676",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cottage Grove, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2026; 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.