National Provider Identifier Database

CHARLES JEONG DDS
Oral and Maxillofacial Surgery

The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.


Contact Information

CHARLES JEONG DDS
16410 NORTHERN BLVD STE 102
FLUSHING, NY11358-2668
Phone: 718-762-1700
Fax:
Website:
Specialty Taxonomy Code
* Oral and Maxillofacial Surgery 261QS0112X
Dental 261QD0000X

* Indicates primary specialty

NPI Profile & details for CHARLES JEONG DDS

NPI Number 1194385609
Legal business name
LBN
CHARLES JEONG DDS
Authorized official CHARLES JEONG - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 06/17/2019
Last updated 06/17/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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