JAE HA JUNG (NPI# 1598106569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598106569 |
Entity Type | Individual |
Full Name | JAE HA JUNG |
Credential | D. D. S. |
Practice Address |
1710 U.S. 287 Frontage Rd Ste 100 Mansfield TX 76063 |
Mailing Address |
1710 U.S. 287 Frontage Rd Ste. 100 Mansfield TX 76063 |
Practice Telephone | 8173133760 |
Mailing Telephone | 8173133760 |
Enumeration Date | 2013-07-08 |
Last Update Date | 2019-03-13 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223E0200X |
Dentist Specialization: Endodontics |
32366 | TX | Dental Providers |
Street Address |
1710 U.S. 287 FRONTAGE RD STE 100 |
City | MANSFIELD |
State | TX |
Zip Code | 76063 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316558349 | Lindsey Vandyke, D.o. Pllc | Internal Medicine | 3150 E Broad Street, Ste 100, Mansfield, TX 76063 | 2020-08-13 |
1942819867 | Jennifer Que Chau Nguyen | Pharmacist | 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 | 2020-07-27 |
1194346890 | Ana Maria Gonzalez | Dentist | 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 | 2020-05-04 |
1245869080 | Stateserv Medical of Texas, LLC | Durable Medical Equipment & Medical Supplies | 7941 Rodeo Trail, Mansfield, TX 76063 | 2020-04-03 |
1649802232 | Mary Puanani Kamai | Nurse Practitioner | 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 | 2020-02-11 |
1770123028 | Gladys Vera Nfodzo | Nurse Practitioner | 901 W. Broad St, Mansfield, TX 76063 | 2020-01-14 |
1669011300 | Alexa Smith | Nurse Practitioner | 2800 E Broad St #304, Mansfield, TX 76063 | 2019-12-28 |
1477190437 | Mel Rockwall LLC | Optometrist | 1701 East Broad Street, Ste 109, Mansfield, TX 76063 | 2019-12-09 |
1376185512 | Daniel Max & Marcandrea LLC | Optometrist | 1701 East Broad St., Ste 109, Mansfield, TX 76063 | 2019-10-09 |
1861046385 | Lacey Eaton | Counselor | 805 Killian Dr, Mansfield, TX 76063 | 2019-08-01 |
Find all providers in zip 76063 |
Taxonomy Code | 1223E0200X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Endodontics |
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528608817 | Yelton Jung Endodontics Group | Dentist | 1710 Highway 287 N Ste 100, Mansfield, TX 76063-7725 | 2020-01-14 |
1902052152 | Network Provider Associates, P.C. | Dentist | 3806 E Broad St, Suite 108, Mansfield, TX 76063-5621 | 2008-08-07 |
1508045410 | Nauman Chatha | Dentist | 292 Chauncy St, Mansfield, MA 02048-1203 | 2007-10-26 |
1225241425 | Harvey L Novack Dmd PC | Dentist | 100 Copeland Drive, Suite 10, Mansfield, MA 02048 | 2007-05-07 |
1194746107 | Mansfield Endodontics, Ltd. | Dentist | 1245 S Trimble Rd, Mansfield, OH 44907-2229 | 2006-07-22 |
1588116057 | Obadah Attar | Dentist | 1710 Highway 287 N, Mansfield, TX 76063-7534 | 2016-10-31 |
1093737322 | Russell Kiser II | Dentist | 1245 S Trimble Rd, Mansfield, OH 44907-2229 | 2006-07-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184221392 | Erika Silguero | Dentist | 101 E Expressway 83 Ste 120, Mcallen, TX 78501-1164 | 2020-10-01 |
1952925968 | Premier Endodontics, P.C. | Dentist | 3400 N Mccoll Rd Ste C, Mcallen, TX 78501-5783 | 2020-06-04 |
1982233318 | Patency Capital LLC | Dentist | 1050 Yale St Ste 210, Houston, TX 77008-2831 | 2020-04-07 |
1174158661 | Hira Assad | Dentist | Spring Klein Endodontics, 6078 Farm To Market 2920, Spring, TX 77379 | 2020-03-05 |
1366074890 | Magnolia Family Dentistry Pllc | Dentist | 610 Melton St Ste 300, Magnolia, TX 77354-2366 | 2020-02-12 |
1639719925 | Yelton Jung Endodontics Group | Dentist | 1901 Fm 423 Ste 200, Frisco, TX 75033-4729 | 2020-01-14 |
1699323618 | Jaymin Jayantibhai Patel | Dentist | 2112 Boll St Apt 122, Dallas, TX 75204-2835 | 2019-09-03 |
1851943989 | Jae Ha Jung Dds Pllc | Dentist | 1901 Fm 423, Ste 200, Little Elm, TX 75068 | 2019-07-09 |
1790349165 | Endodontics & Microsurgery Center PC | Dentist | 23543 Kingsland Blvd Ste 500, Katy, TX 77494-3962 | 2019-04-30 |
1184288805 | Gabriella Postalian-rizzo | Dentist | 4126 Southwest Freeway, Suite 1040, Houston, TX 77027 | 2019-04-29 |
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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.