Jang, Minwoo
Jang, Minwoo is an sole proprietor health care provider with primary practice located at 655 Boston Rd Ste 3A , Billerica MA 01821-5338. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Jang, Minwoo can be contacted via phone (508) 213-9902.Contact Information
Primary practice address
655 Boston Rd Ste 3A
Billerica MA 01821-5338
Phone: (508) 213-9902
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Massachusetts | |
| Dental Providers / General Practice | 1223G0001X | DN1856653 | Massachusetts |
Profile Details
| NPI number | 1437567443 |
|---|---|
| LBN Legal business name | Jang, Minwoo |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 23rd, 2014 |
| Last updated | Aug 23rd, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437567443 | NPPES |
| Massachusetts | MEDICAID | 110100537A |
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