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JONG UM DDS INC NPI 1104204445


NPI Information

NPI: 1104204445
Provider Name: JONG UM DDS, INC

Doing Business As: SAME DAY DENTAL PA

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
9312 LA BIANCO ST
FORT MYERS, FL
ZIP 33967
Phone: (860) 325-0022
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JONG UM DDS, INC is a general practice dentist in Fort Myers, FL. 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. JONG UM DDS, INC NPI is 1104204445. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Same Day Dental Pa.

The provider's business location address is:

9312 LA BIANCO ST
FORT MYERS, FL
ZIP 33967-641
Phone: (860) 325-0022

The provider's authorized official is Jong Um .
The authorized official title is President and has the following contact phone number (860) 325-0022.

The enumeration date for this NPI number is 5/6/2015 and was last updated on 5/6/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeDN 20702FLORIDAYes

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: 11/14/2023

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