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JUNG NAM DMD MSD INC NPI 1205278017


NPI Information

NPI: 1205278017
Provider Name: JUNG NAM, DMD MSD INC
Classification: Dentist - 1223P0700X
Entity Type: Organization

Specialization: Prosthodontics

Address:
1691 EL CAMINO REAL STE 200
PALO ALTO, CA
ZIP 94306
Phone: (650) 324-1292
Get Directions

JUNG NAM, DMD MSD INC is a prosthodontics dentist in Palo Alto, CA. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. JUNG NAM, DMD MSD INC NPI is 1205278017. The provider is registered as an organization entity type.

The provider's business location address is:

1691 EL CAMINO REAL STE 200
PALO ALTO, CA
ZIP 94306-054
Phone: (650) 324-1292
Fax: (650) 618-1944

The provider's authorized official is Jung Nam .
The authorized official title is Prosthodontist and has the following contact phone number (650) 324-1292.

The enumeration date for this NPI number is 7/22/2013 and was last updated on 3/17/2020.


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
1261QD0000XClinic/CenterDental55416CALIFORNIANo
21223P0700XDentistProsthodonticsYes

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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