MR. HAN JONG KANG D.D.S NPI 1346235397

NPI Information

NPI: 1346235397
Provider Name: MR. HAN JONG KANG, D.D.S
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
777 BROAD AVE
RIDGEFIELD, NJ
ZIP 07657
Phone: (201) 945-0123
Get Directions

MR. Han Jong Kang, D.D.S is a general practice dentist in Ridgefield, NJ. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MR. Han Jong Kang, D.D.S NPI is 1346235397. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

777 BROAD AVE
RIDGEFIELD, NJ
ZIP 07657-001
Phone: (201) 945-0123
Fax: (201) 313-5252

The enumeration date for this NPI number is 9/15/2005 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	048768	NEW YORK	No
2	1223G0001X	Dentist	General Practice	DI0211300	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	02064120	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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