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TED A JUNG D.D.S., NPI 1568467835

Dentist in LAKEWOOD, WI

Last Updated on : Mar 07,2023

TED A JUNG D.D.S., NPI 1568467835

About TED A JUNG (NPI 1568467835)


TED A JUNG is a Dentist provider in LAKEWOOD, United States. His medical specialization is Dentist with a focus in General Practice.

1568467835 is NPI number of TED A JUNG.

TED A JUNG's primary taxonomy code based on NPI Lookup is 1223G0001X with license number 5781-015. This taxonomy code refers to Dentist.

TED A JUNG has more than 18 years of experience.

TED A JUNG current practice location address is 15397 STATE HIGHWAY 32, LAKEWOOD, WI. TED A JUNG can be reached out via phone at 715-276-6321 and via fax at 715-276-1428 .

You can also correspond with TED A JUNG through mail at mailing address 15954 RIVERS EDGE DR STE 304, HAYWARD, WI, United States. Mailing address contact number is 171-563-4254.

The enumeration date of TED A JUNG is 14-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 1 years ago.

1568467835 NPI Information

Basic NPI information of TED A JUNG (NPI 1568467835) is provided below.

Name TED A JUNG
National Provider Id (NPI) 1568467835
Entity Type Individual
Gender M
Credential D.D.S.
Practice Address 15397 STATE HIGHWAY 32,
LAKEWOOD, WI, United States
Practice Telephone 715-276-6321
Practice Fax Number 715-276-1428
Mailing Address 15954 RIVERS EDGE DR STE 304 ,
HAYWARD, WI, United States
Mailing Telephone 171-563-4254
Mailing Fax Number 715-598-4881
Enumeration Date 14-Jun-2005
Last Updated Date 07-Mar-2023

TED A JUNG (NPI 1568467835) Primary Taxonomy Information

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.

Primary Taxonomy Code Clasification License Number License State
Y 1223G0001X Dentist, General Practice 5781-015 WI

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.

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type/Code Identifier State Identifier Issuer
337-90800 MEDICAID (05) WI

TED A JUNG (NPI 1568467835) Office Location

Office location of TED A JUNG is provided in the Google maps below.

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How to check whether NPI 1063496693 is valid?

The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

FAQs

Whose NPI Number is 1568467835?

1568467835 is the NPI number of TED A JUNG.

What is the specialty for TED A JUNG?

The Specialty of TED A JUNG is Dentist.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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