Chung, Jong J

Chung, Jong J is an sole proprietor health care provider with primary practice located at 13626 Warwick Blvd Ste A, Newport News VA 23602-5566. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Chung, Jong J can be contacted via phone (757) 833-7217.

Contact Information

Primary practice address
13626 Warwick Blvd Ste A Newport News VA 23602-5566
Phone: (757) 833-7217
Fax: (757) 833-0134
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 0401008234 Virginia
Dental Providers / Dentist 122300000X 8234 Virginia

Profile Details

NPI number 1689739476
LBN Legal business name Chung, Jong J
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 22nd, 2006
Last updated Jan 2nd, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689739476 NPPES
Virginia MEDICAID 7803249
Virginia MEDICAID 0006139

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