EUN SUB JANG, D.D.S. INC (NPI# 1720289770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720289770 |
| Entity Type | Organization |
| Organization Name | EUN SUB JANG, D.D.S. INC |
| Practice Address |
95 Montgomery Dr # 218 Santa Rosa CA 95404-6630 |
| Practice Telephone | 7075453368 |
| Mailing Telephone | 7075453368 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. EUN SUB JANG (DENTIST) |
| Authorized Official Telephone | 7075453368 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
48468 | CA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE NUMBER | 48468 | 01 |
| Street Address |
95 MONTGOMERY DR # 218 |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95404-6630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659374643 | Harry Francis Albers | Dentist | 95 Montgomery Dr, Ste 106, Santa Rosa, CA 95404-6617 | 2005-05-23 |
| 1639665524 | Dolores Edwinson | Marriage & Family Therapist | 95 Montgomery Dr, Santa Rosa, CA 95404-6630 | 2018-07-03 |
| 1346782646 | Makha Phetphommasouk | Acupuncturist | 95 Montgomery Dr, 126, Santa Rosa, CA 95404-6630 | 2016-11-17 |
| 1184029308 | Chiropractic Neurology Enhancement Center | Chiropractor | 95 Montgomery Dr, Suite 118, Santa Rosa, CA 95404-6630 | 2014-10-30 |
| 1063858470 | Flourish Physical Therapy, Inc | Physical Therapist | 95 Montgomery Dr, Suite 90, Santa Rosa, CA 95404-6630 | 2013-05-13 |
| 1518235340 | Rashidi Medical Corporation | Specialist | 95 Montgomery Dr, Suite 118, Santa Rosa, CA 95404-6617 | 2011-12-07 |
| 1679851448 | Northern California Medical Assoc Inc | Internal Medicine | 95 Montgomery Dr, Ste 120, Santa Rosa, CA 95404-6617 | 2011-07-28 |
| 1003141201 | Laurie B. Stolmaker | Marriage & Family Therapist | 95 Montgomery Dr, Ste 202, Santa Rosa, CA 95404-6629 | 2009-10-06 |
| 1689848236 | Rosemary Brock | Marriage & Family Therapist | 95 Montgomery Dr, Suite 204, Santa Rosa, CA 95404-6630 | 2008-04-15 |
| 1811196322 | Lauren Spieler | Family Medicine | 95 Montgomery Dr, Suite 120, Santa Rosa, CA 95404-6630 | 2007-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442217 | David Lee Dutton | Counselor | 201 S. E Street, Santa Rosa, CA 95404 | 2020-09-16 |
| 1114492162 | Jesse Earl Rathbun Jr. | Ophthalmology | 1920 Grace Dr., Santa Rosa, CA 95404 | 2018-10-05 |
| 1568958437 | Bianca Avina | Marriage & Family Therapist | 95 Montgomery Dr. #112, Santa Rosa, CA 95404 | 2018-07-03 |
| 1366940504 | New Leaf Counseling and Psychotherapy | Marriage & Family Therapist | 1030 2n Street, Suite B, Santa Rosa, CA 95404 | 2018-01-23 |
| 1659884864 | Jessica Vargas Lopez | Counselor | 3333 Chanate Road, Santa Rosa, CA 95404 | 2017-11-09 |
| 1982135992 | Gaea Keridwyn Coon | Marriage & Family Therapist | 884 Third Street, Suite D, Santa Rosa, CA 95404 | 2017-03-22 |
| 1376084699 | Empire Traditional Chinese Medicine | Acupuncturist | 1030 Second St, Santa Rosa, CA 95404 | 2017-03-20 |
| 1356888705 | Webster Surgery Center, Lp | Clinic/Center | 730 Bennett Valley Road, Santa Rosa, CA 95404 | 2017-01-24 |
| 1205295979 | Sandra Lee Krikorian | Social Worker | 101 E Street, Suite 312, Santa Rosa, CA 95404 | 2016-02-23 |
| 1396134615 | The Center for Body Oriented Psychotherapy & Wellness | Psychologist | 1626 Fourth Street, Santa Rosa, CA 95404 | 2015-01-12 |
| Find all providers in zip 95404 | ||||
| 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 |
|---|---|---|---|---|
| 1194369942 | M.s. Salek Dds, A Dental Corporation | Dentist | 2448 Guerneville Rd Ste 1000, Santa Rosa, CA 95403-7226 | 2019-11-05 |
| 1346806791 | Scott C. Bonin D.d.s. A Professional Denal Corporation | Dentist | 1260 N Dutton Ave Ste 290, Santa Rosa, CA 95401-7159 | 2019-05-11 |
| 1285035527 | Jeffers Dentistry Partnership | Dentist | 1820 Sonoma Ave Ste 42, Santa Rosa, CA 95405-6617 | 2014-09-05 |
| 1447699517 | Natalia Camacho-worms | Dentist | 1300 N. Dutton Ave, Santa Rosa, CA 95401 | 2013-06-21 |
| 1205170065 | Yunfei Fan Dds, A Professional Corporation | Dentist | 1420 Guerneville Rd Ste 5, Santa Rosa, CA 95403-4124 | 2012-11-19 |
| 1811231947 | Tingjen Ji | Dentist | 170 Farmers Ln Ste 1, Santa Rosa, CA 95405-4750 | 2012-11-15 |
| 1114295854 | James Klim | Dentist | 2755 Mendocino Ave, Suite 204, Santa Rosa, CA 95403-2827 | 2011-12-08 |
| 1588997647 | Kai Morgan | Dentist | 1144 Suite 116 Soonoma Ave, Santa Rosa, CA 95405 | 2009-09-08 |
| 1700029303 | Richard Anderson Dds | Dentist | 90 Doctors Park Drive, Santa Rosa, CA 95405-9998 | 2009-04-13 |
| 1356506596 | Kenneth James Bauer | Dentist | 55 Mission Cir Ste 107, Santa Rosa, CA 95409-5372 | 2008-07-28 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95404 |
Please comment or provide details below to improve the information on EUN SUB JANG, D.D.S. INC.
| 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.