DR. CALEB KYUNGSUP JANG DDS NPI 1629567284

NPI Information

  • NPI: 1629567284
  • Provider Name: DR. CALEB KYUNGSUP JANG, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 956 CHANDLER CT
    WALDORF, MD
    ZIP 20602
  • Phone: (301) 705-9737

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NPI Details

DR. Caleb Kyungsup Jang, DDS is a general practice dentist in Waldorf, MD. 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. DR. Caleb Kyungsup Jang, DDS NPI is 1629567284. 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:

956 CHANDLER CT
WALDORF, MD
ZIP 20602-800
Phone: (301) 705-9737

The enumeration date for this NPI number is 5/8/2018 and was last updated on 11/7/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice17227MARYLANDYes
21223G0001XDentistGeneral Practice0401416443VIRGINIANo
31223G0001XDentistGeneral PracticeDEN1001883DISTRICT OF COLUMBIANo

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: 11/21/2025

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