Eun Sil Jang is a Dentist in Forest Hills, New York. Eun Sil Jang practices all healthcare services and medical treatments related to Dentist. The NPI Number for Eun Sil Jang is 1639285737. The last update date is 2007-07-08.
Eun Sil Jang's current location address is 112-03 Queens Blvd, Forest Hills, New York. You can contact this provider via phone number 7187937015 and fax number 7187937015. The mailing address for Eun Sil Jang is 112-03 Queens Blvd, Forest Hills, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eun Sil Jang |
|---|---|
| Address | 112-03 Queens Blvd, Forest Hills, New York |
| Phone Number | 7187937015 |
| Fax Number | 7187937015 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1639285737 |
|---|---|
| Provider Enumeration Date | 2006-08-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 112-03 Queens Blvd |
|---|---|
| City | Forest Hills |
| State | New York (NY) |
| Post Code | 11375 |
| Phone Number | 7187937015 |
| Fax Number | 7187937015 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 40472 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1015058 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Eun Sil Jang by the Centers for Medicare & Medicaid Services (CMS)?
The Eun Sil Jang has been assigned the NPI (National Provider Identifier) 1639285737. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Eun Sil Jang is physically located?
The Eun Sil Jang is situated at the following address: 112-03 Queens Blvd, Forest Hills, NY 11375.
What is Eun Sil Jang's area of expertise and its corresponding taxonomy classification?
The Eun Sil Jang's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Eun Sil Jang receive the assignment of its 1639285737 from the Centers for Medicare & Medicaid Services?
The Eun Sil Jang was issued its 1639285737 by the Centers for Medicare & Medicaid Services on 2006-08-22.
When was the information pertaining to Eun Sil Jang most recently updated or revised?
The details related to Eun Sil Jang, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.