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WALTER J. JUNG PROFESSIONAL DENTAL CORPORATION NPI 1659404077


NPI Information

NPI: 1659404077
Provider Name: WALTER J. JUNG PROFESSIONAL DENTAL CORPORATION

Doing Business As: SOUTHERN LOUISIANA ORAL & MAXILLOFACIAL SURGERY

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
8680 BLUEBONNET BLVD
SUITE C
BATON ROUGE, LA
ZIP 70810
Phone: (225) 767-7212
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WALTER J. JUNG PROFESSIONAL DENTAL CORPORATION is an oral and maxillofacial surgery dentist in Baton Rouge, LA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. WALTER J. JUNG PROFESSIONAL DENTAL CORPORATION NPI is 1659404077. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Southern Louisiana Oral & Maxillofacial Surgery.

The provider's business location address is:

8680 BLUEBONNET BLVD
SUITE C
BATON ROUGE, LA
ZIP 70810-825
Phone: (225) 767-7212
Fax: (225) 767-0945

The provider's authorized official is Walter J Jung .
The authorized official title is Owner and has the following contact phone number (225) 767-7212.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 7/17/2008.


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
11223S0112XDentistOral and Maxillofacial Surgery5295LOUISIANAYes

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: 4/28/2024

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