JONG UM DDS, INC (NPI# 1265803431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265803431 |
| Entity Type | Organization |
| Organization Name | JONG UM DDS, INC |
| Other Organization Name | D & L DENTAL ASSOCIATES |
| Practice Address |
21 Sherman Ct Fairfield CT 06824-5825 |
| Practice Telephone | 2032550108 |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2015-12-03 |
| Authorized Official Name | JONG UM (PRESIDENT) |
| Authorized Official Telephone | 8603250022 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
011496 | CT | Dental Providers |
| Other Name | Type Code |
|---|---|
| D & L Dental Associates | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104204445 | Jong Um Dds, Inc | Dentist | 9312 La Bianco St, Fort Myers, FL 33967-5641 | 2015-05-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | JONG UM DDS, INC | 21 Sherman Ct, Fairfield, CT 06824 |
| Street Address |
21 SHERMAN CT |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06824-5825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114089687 | Deborah Lipschitz | Psychiatry & Neurology | 21 Sherman Ct, Fairfield, CT 06824-5825 | 2006-12-14 |
| 1578062816 | Juliet Gurevitz | Social Worker | 21 Sherman Ct, Fairfield, CT 06824-5825 | 2018-02-01 |
| 1346537040 | Mark Celano | Psychologist | 21 Sherman Ct, Fairfield, CT 06824 | 2011-07-01 |
| 1346475316 | Jong Um Dds Inc | Dentist | 21 Sherman Ct, Fairfield, CT 06824-5825 | 2009-05-20 |
| 1881854263 | Clare Powers | Counselor | 21 Sherman Ct, Fairfield, CT 06824-5825 | 2008-06-10 |
| 1639341811 | Michelle Rea | Social Worker | 21 Sherman Ct, Fairfield, CT 06824-5825 | 2008-03-28 |
| 1982872198 | Jane Ann Conway | Social Worker | 21 Sherman Ct, Fairfield, CT 06824-5825 | 2008-02-11 |
| 1396963583 | Wendy Michel | Social Worker | 21 Sherman Ct, Fairfield, CT 06824-5825 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819826 | Lauren J Cotton | Student in an Organized Health Care Education/Training Program | 1073 North Benson Road, Fairfield, CT 06824 | 2020-07-28 |
| 1831652064 | Seagull Counseling & Therapy LLC | Social Worker | 35 Nutmeg Lane, Fairfield, CT 06824 | 2019-04-14 |
| 1871018390 | Richard Matthew Carraway | Nurse Practitioner | 117 Carlynn Drive, Fairfield, CT 06824 | 2017-08-05 |
| 1811426695 | Fairfield County Health & Wellness Services II LLC | Psychiatry & Neurology | 325 Reef Road/suite 109, Fairfield, CT 06824 | 2017-06-06 |
| 1487198214 | Evamarie Koehler Elinskas | Speech-Language Pathologist | 50 Potters Lane, Fairfield, CT 06824 | 2016-12-13 |
| 1447794441 | Nicholas C Kopazna | Counselor | 433 Meadow St, Fairfield, CT 06824 | 2016-12-09 |
| 1245686997 | Tyler Wayne Vitzthum | Chiropractor | 1995 Post Rd., Fairfield, CT 06824 | 2016-05-12 |
| 1184087660 | Beth Segaloff | Social Worker | 191 Catherine Terrace, Fairfield, CT 06824 | 2016-04-01 |
| 1518342781 | April Vanbergen | Counselor | 1275 Post Rd., Suite A5, Fairfield, CT 06824 | 2015-07-29 |
| 1982089181 | Mary Cilio | Social Worker | 173 Samp Mortar Drive, Fairfield, CT 06824 | 2015-07-29 |
| Find all providers in zip 06824 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| 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. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245876051 | Karun Kaushal | Dentist | 2432 Mainsail Ct, Fairfield, CA 94534-1784 | 2019-11-27 |
| 1063063469 | Krunali Kapadia | Dentist | 1325 Travis Blvd Ste D, Fairfield, CA 94533-4611 | 2019-09-26 |
| 1962050765 | Sasha Drexler Dentistry Pllc | Dentist | 1305 Post Rd Ste 200, Fairfield, CT 06824-6016 | 2019-08-27 |
| 1801441902 | Fairfield Dental Associates PC | Dentist | 1979 Post Rd, Fairfield, CT 06824-5723 | 2019-08-06 |
| 1184119224 | Judge Ct Dental PC | Dentist | 2209 Black Rock Tpke, Fairfield, CT 06825-3243 | 2018-06-29 |
| 1922513811 | S. Jang Dds Incorporated | Dentist | 1955 W Texas St Ste 2b, Fairfield, CA 94533-4462 | 2017-12-13 |
| 1174038327 | First Dental LLC | Dentist | 325 Reef Rd Ste 106, Fairfield, CT 06824-6537 | 2017-12-11 |
| 1104330455 | Christopher French Dds, Inc | Dentist | 3825 Kraus Ln Unit J, Fairfield, OH 45014-5866 | 2017-11-24 |
| 1235594474 | Laurel Santos | Dentist | 1402 Pennsylvania Ave, Fairfield, CA 94533-3507 | 2015-12-15 |
| 1184093445 | Alicia Marie Schexnayder | Dentist | 3332 N Texas St Ste C, Fairfield, CA 94533-9758 | 2015-09-17 |
| Find all providers in FAIRFIELD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.