NPI 1164949913

James J Jeong, DDS

Practitioner Dentist Fort Meade, MD

Practice location

Address: 8476 Simmond St, Fort Meade, MD 20755-7083
Phone: (301) 677-6122
Mailing address: U.S. Army Dental Activity 8476 Simonds St, Fort Meade, MD 20755

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 16511 (MD)

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Registry record

NPI: 1164949913
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Aug 2017
Record last updated: 23 Aug 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.