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Contact Information

CHARLES JEONG DDS
16410 NORTHERN BLVD STE 102
FLUSHING, NY11358-2668
 Phone: 718-762-1700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral and Maxillofacial Surgery

261QS0112X
 

Dental

261QD0000X
Indicates primary specialty

NPI Profile & details for CHARLES JEONG DDS

NPI Number 1194385609
LBN Legal business name CHARLES JEONG DDS
Authorized official CHARLES JEONG - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/17/2019
Last updated 06/17/2019 - About 7 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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