DR. HAESIN S JUNG (NPI# 1831295567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831295567 |
| Entity Type | Individual |
| Full Name | DR. HAESIN S JUNG |
| Credential | DDS PC |
| Practice Address |
465 East Main St Middletown NY 10940 |
| Practice Telephone | 8453438212 |
| Practice Fax Number | 8453438222 |
| Mailing Telephone | 8453438212 |
| Mailing Fax Number | 8453438222 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2010-05-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
047545 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02591495 | 05 |
| Street Address |
465 EAST MAIN ST |
| City | MIDDLETOWN |
| State | NY |
| Zip Code | 10940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043135 | Sherell Rebecca Hassell-robinson | Social Worker | 1 Echo Hills Road, Middletown, NY 10940 | 2020-11-06 |
| 1144821927 | Fred Allen Mccormack | Social Worker | 210 East Main St Suite 105, Middletown, NY 10940 | 2020-11-06 |
| 1609484567 | Gen Med Inc | Anesthesiology | 253 Route 211 East, 2nd Floor, Middletown, NY 10940 | 2020-07-16 |
| 1366067092 | Kalyn Ruscher | Counselor | 303 5th Ave 14 Fl, Suite 1410, New York, NY 10940 | 2020-06-09 |
| 1780238220 | Angela Mayo | Social Worker | 24 Union Street, Middletown, NY 10940 | 2019-08-01 |
| 1215593611 | Northern Medical Center, Inc | Family Medicine | 14 Jason Place, Suite 201, Middletown, NY 10940 | 2019-05-13 |
| 1811468267 | Diana Katzenberger | Licensed Practical Nurse | 774 Kurbytuwn Rd, Middletown, NY 10940 | 2018-12-11 |
| 1881165330 | Chereen Madden-grant | Registered Nurse | 1028 Route 211 W, Middletown, NY 10940 | 2018-12-10 |
| 1184106361 | Clarise Denise Williams | Social Worker | 210 E Main St Suite 105, Middletown, NY 10940 | 2018-09-04 |
| 1194210963 | Damon Tremayne Swinea | Social Worker | 16-24 Union St., Middletown, NY 10940 | 2018-06-25 |
| Find all providers in zip 10940 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972620359 | Skrobola & Schlosser Dds PC | Dentist | 180 Wisner Ave, Middletown, NY 10940-3221 | 2007-03-23 |
| 1306990700 | James L Hurst | Dentist | 137 West Main Rd, Middletown, RI 02842 | 2007-01-22 |
| 1740333145 | James S Rozes | Dentist | 1171 Aquidneck Ave, Middletown, RI 02842-5255 | 2007-01-19 |
| 1417050733 | William D Engilman | Dentist | 134 N Evergreen Rd, Suite 101, Middletown, KY 40243-1487 | 2006-09-06 |
| 1598732927 | Jeffrey J Kim | Dentist | 400 Midway Park Drive, Middletown, NY 10940 | 2006-03-03 |
| 1922551712 | Michael Skrobola IIi | Dentist | 180 Wisner Ave, Middletown, NY 10940 | 2016-07-27 |
| 1639579576 | Jonathan Schlosser | Dentist | 180 Wisner Ave, Middletown, NY 10940-3221 | 2014-08-28 |
| 1386043479 | Michael Skrobola | Dentist | 180 Wisner Ave, Middletown, NY 10940-3221 | 2014-08-14 |
| 1215345145 | Jeffrey Bert | Dentist | 561 Saybrook Rd, Middletown, CT 06457-4791 | 2014-07-23 |
| 1841617933 | Michael Kelly | Dentist | 561 Saybrook Rd, Middletown, CT 06457-4791 | 2014-03-26 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 10940 |
Please comment or provide details below to improve the information on DR. HAESIN S 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.