JONG UM DDS, INC (NPI# 1104204445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104204445 |
Entity Type | Organization |
Organization Name | JONG UM DDS, INC |
Other Organization Name | SAME DAY DENTAL PA |
Practice Address |
9312 La Bianco St Fort Myers FL 33967-5641 |
Practice Telephone | 8603250022 |
Mailing Telephone | 8603250022 |
Enumeration Date | 2015-05-06 |
Last Update Date | 2015-05-06 |
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 |
DN 20702 | FL | Dental Providers |
Other Name | Type Code |
---|---|
Same Day Dental PA | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265803431 | Jong Um Dds, Inc | Dentist | 21 Sherman Ct, Fairfield, CT 06824-5825 | 2015-10-14 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Connecticut Business Registrations | JONG UM DDS, INC | 21 Sherman Ct, Fairfield, CT 06824 |
Street Address |
9312 LA BIANCO ST |
City | FORT MYERS |
State | FL |
Zip Code | 33967-5641 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235614991 | Michelle Lynn Gerken | Nurse Practitioner | 8141 Pennsylvania Blvd, Fort Myers, FL 33967 | 2018-09-28 |
1659892370 | Mary Kathryn Mckeon | Occupational Therapist | 9025 King Rd W, Ft Myers, FL 33967 | 2017-07-03 |
1316321003 | Wal-mart Stores East, Lp | Technician/Technologist | 19975 S Tamiami Trail, Fort Myers, FL 33967 | 2015-07-13 |
1104970409 | Jennifer J. Paul | Registered Nurse | 17132 Alico Center Road, Suite 1, Fort Myers, FL 33967 | 2007-01-23 |
1194750935 | William A. Greider | Dentist | 19004 Birch Rd. Se, Ft. Myers, FL 33967 | 2006-07-11 |
1548271869 | Desiree Granados-fischel | Obstetrics & Gynecology | 19348 La Serena Dr, Fort Myers, FL 33967-0525 | 2006-08-11 |
1487644555 | Henry Donn Venable | Anesthesiology | 19324 La Serena Dr, Estero, FL 33967-0525 | 2005-10-28 |
1407146434 | Barrie Nicole Vilnius | Occupational Therapist | 8815 Largo Mar Dr, Fort Myers, FL 33967-0534 | 2011-04-11 |
1760805725 | Hearing Health In Home Care, LLC | Hearing Instrument Specialist | 19760 Maddelena Cir, Fort Myers, FL 33967-0537 | 2014-01-28 |
1891110128 | Derick Alexander Winn | Hearing Instrument Specialist | 19760 Maddelena Cir, Fort Myers, FL 33967-0537 | 2014-02-24 |
Find all providers in zip 33967 |
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 |
---|---|---|---|---|
1710505359 | Ariosto Rosado | Dentist | 16960 Alico Mission Way Ste 100, Fort Myers, FL 33908-4844 | 2020-07-09 |
1972141430 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 16159 Myriad Ln, Fort Myers, FL 33908-3483 | 2019-12-16 |
1407404320 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 12021 Palm Beach Blvd, Fort Myers, FL 33905-4807 | 2019-09-04 |
1073084307 | Mobile Dental Care of Florida LLC | Dentist | 1431 Poinciana Ave, Fort Myers, FL 33901-5926 | 2018-12-16 |
1831660026 | Happy Smiles of Port Saint Lucie | Dentist | 2675 Winkler Ave Ste 450, Fort Myers, FL 33901-9329 | 2018-12-16 |
1528549094 | Deborah Senese Streater | Dentist | 12530 New Brittany Blvd., Fort Myers, FL 33907 | 2018-08-23 |
1962989566 | Samarah A Al-jamali | Dentist | 9330 Ben Pratt/6 Mi Cypress #4, Fort Myers, FL 33966 | 2018-07-26 |
1861908683 | Comfortable Care Dental Health Professionals, P.a. | Dentist | 5245 Big Pine Way Ste 103, Fort Myers, FL 33907-5924 | 2017-12-15 |
1346754900 | Amelia Mercedes Caceres Tejada | Dentist | 3230 Forum Blvd, Fort Myers, FL 33905-5580 | 2017-11-18 |
1407372824 | Erik Matthew Skates | Dentist | 10551 6 Mile Cypress Pkwy, Fort Myers, FL 33966-6461 | 2017-08-17 |
Find all providers in FORT MYERS |
City | FORT MYERS |
Zip Code | 33967 |
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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.