| Jong UM DDS Inc | |
|
21 Sherman Ct Fairfield CT 06824-5825 | |
| (203) 255-0108 | |
| (203) 255-1239 |
| Full Name | Jong UM DDS Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 21 Sherman Ct, Fairfield, Connecticut |
| Authorized Official Name and Position | Jong UM (PRESIDENT) |
| Authorized Official Contact | 2032550108 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jong UM DDS Inc 21 Sherman Ct Fairfield CT 06824-5825 Ph: (203) 255-0108 | Jong UM DDS Inc 21 Sherman Ct Fairfield CT 06824-5825 Ph: (203) 255-0108 |
| NPI Number | 1346475316 |
|---|---|
| Provider Enumeration Date | 05/20/2009 |
| Last Update Date | 12/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346475316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 007375 (Connecticut) | Secondary |
| 1223G0001X | Dentist - General Practice | 006792 (Connecticut) | Primary |
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