DR. HEKYUNG LEE JUNG (NPI# 1558347690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558347690 |
| Entity Type | Individual |
| Full Name | DR. HEKYUNG LEE JUNG |
| Credential | D.M.D. |
| Practice Address |
618th Dental Co(as)/ Korea Dentac; Unit 15660 Camp Humphreys, Carius Dental Clinic Bldg 3020 Apo AP 96271 |
| Mailing Address |
Psc 333 Box 3623 Apo AP 96251-0037 |
| Practice Telephone | 3157379292 |
| Mailing Telephone | 3157379292 |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2019-01-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
57918 | CA | Dental Providers |
| N | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
DS028218L | PA | Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2158 Flame Flower Ln, Fullerton, CA 928334954 | 7146868933 |
| Street Address |
618TH DENTAL CO(AS)/ KOREA DENTAC; UNIT 15660 CAMP HUMPHREYS, CARIUS DENTAL CLINIC BLDG 3020 |
| City | APO |
| State | AP |
| Zip Code | 96271 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124686472 | Oscar Christian | Military Health Care Provider | Hospital: Wh3s9a 549 Hc/baach, Unit 15245, Apo, AP 96271 | 2019-06-02 |
| 1740848449 | Samuel Kong Hmong Lo | Dentist | Carius Dental Clinic, Unit 15652, Apo, AP 96271 | 2019-05-29 |
| 1003375924 | Kevin Scott Floyd | Physician Assistant | Camp Humphrey's, Apo, AP 96271 | 2019-03-19 |
| 1780163220 | Gina Wooyoung Paik | Dentist | Hq, 618th Dcas/dentac, Korea, Unit 15652, Apo, AP 96271 | 2018-08-07 |
| 1932687340 | Jennifer Marie Sisson | Military Health Care Provider | 4-2 Arb, Apo, AP 96271 | 2018-07-30 |
| 1356852818 | Allison G White | Optometrist | Bdaach/549th Hospital Center Usag Humphreys Bldg.# 3030, Apo, AP 96271 | 2017-10-23 |
| 1871014902 | Charlie Kim | Dentist | Camp Humphreys, Carius Dental Clinic Bldg 3020, Apo, AP 96271 | 2017-06-28 |
| 1093245656 | Cindy Rosemarie Bowers | Social Worker | Bldg 370 Camp Humphreys, Wh3s9a 549 Hc/baach Unit 15245, Apo, AP 96271 | 2017-06-15 |
| 1376070359 | Daniel Ilwoo Park | General Practice | Building S-555, Apo, AP 96271 | 2017-05-22 |
| 1952836678 | David J Ahn | Student in an Organized Health Care Education/Training Program | Unit 15190 Box Pyongtaek, Apo, AP 96271 | 2017-05-01 |
| Find all providers in zip 96271 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811971583 | Laura Anne Aeschlimann | Dentist | 18 Dental Squadron/sgd/unit 5270, Apo, AP 96368-5270 | 2005-12-06 |
| 1285959353 | Chad T Eardley | Dentist | Cmr 427, Box 1120, Apo, AE 09630 | 2010-04-01 |
| 1528254513 | Suzana M Gjekaj | Dentist | 18th Medical Group, Unit 5142, Apo, AP 96368 | 2007-09-24 |
| 1689778086 | Michelle Uy Wild | Dentist | Cmr 402, Landstuhl Dental Ativity, Apo, AE 09108 | 2006-09-08 |
| 1235187162 | Norman William Ott Jr. | Dentist | Cmr 402, Landstuhl Dental Activity Credentials Office, Apo, AE 09180 | 2006-05-04 |
| 1629056213 | Amy Ruth Aston I | Dentist | 86 Mdg, Unit 3215, Apo, AE 09094-3215 | 2006-01-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598741779 | Mark Boone | Dentist | Usndc Far East, Psc 475 Box 1857, Fpo, AP 96350 | 2005-12-19 |
Please comment or provide details below to improve the information on DR. HEKYUNG LEE JUNG.
| 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.