Ted A Jung is a General Practice in Lakewood, Wisconsin. Ted A Jung practices all healthcare services and medical treatments related to General Practice. The NPI Number for Ted A Jung is 1568467835. The last update date is 2023-03-07.
Ted A Jung's current location address is 15397 State Highway 32, Lakewood, Wisconsin. You can contact this provider via phone number 7152766321 and fax number 7152761428. The mailing address for Ted A Jung is 15397 State Highway 32, Lakewood, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ted A Jung |
|---|---|
| Address | 15397 State Highway 32, Lakewood, Wisconsin |
| Phone Number | 7152766321 |
| Fax Number | 7152761428 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1568467835 |
|---|---|
| Provider Enumeration Date | 2005-06-14 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 15397 State Highway 32 |
|---|---|
| City | Lakewood |
| State | Wisconsin (WI) |
| Post Code | 5413897020 |
| Phone Number | 7152766321 |
| Fax Number | 7152761428 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 5781-015 |
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Definition: 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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 337-90800 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Ted A Jung by the Centers for Medicare & Medicaid Services?
The Ted A Jung has been issued the NPI (National Provider Identifier) 1568467835 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Ted A Jung is physically located?
The Ted A Jung is situated at the following address: 15397 State Highway 32, Lakewood, WI 5413897020.
What is Ted A Jung's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Ted A Jung is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.
When did Ted A Jung receive its 1568467835 assignment?
The Ted A Jung was assigned its 1568467835 on 2005-06-14, which is the date when this unique identifier was issued to the organization.
As of what date were the Ted A Jung's details last updated?
The information pertaining to the Ted A Jung, including its address, specialty, and other details, was most recently updated on 2023-03-07.
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