NPI 1164080859 · live from the CMS NPI Registry
Jong Uk Chung, DDS, MS, MMSc
Dentist, Orthodontics and Dentofacial Orthopedics in Livingston, NJ. National Provider Identifier 1164080859, active.
NPI record
| NPI | 1164080859 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 471 W Mount Pleasant Ave, Livingston, NJ 07039 |
| Practice phone | 973-840-7355 |
| Enumerated | May 29, 2019 |
| Last updated | August 22, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | DN1858283 (MA) |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | 063180 (NY) |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | 13813 (CT) |
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 22DI03061100 (NJ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.