Jang, Jae Yeon
Jang, Jae Yeon is an individual health care provider with primary practice located at 9601 Blackwell Rd , Rockville MD 20850-3472. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Jang, Jae Yeon can be contacted via phone (240) 428-7311.Contact Information
Primary practice address
9601 Blackwell Rd
Rockville MD 20850-3472
Phone: (240) 428-7311
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | DN1857175 | Massachusetts |
| Dental Providers / Dentist | 122300000X | DS039965 | Pennsylvania |
| Dental Providers / Dentist | 122300000X | 16753 | Maryland |
Profile Details
| NPI number | 1275989220 |
|---|---|
| LBN Legal business name | Jang, Jae Yeon |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2016 |
| Last updated | Nov 24th, 2021 - 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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