Jung, Priscilla
Jung, Priscilla is an individual health care provider with primary practice located at 1455 Broad St Ste 105 , Bloomfield NJ 07003-3039. She 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 her primary health care specialty. Jung, Priscilla can be contacted via phone (862) 702-5234.Contact Information
Primary practice address
1455 Broad St Ste 105
Bloomfield NJ 07003-3039
Phone: (862) 702-5234
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Dental Providers / General Practice | 1223G0001X | 22DI02872900 | New Jersey |
Profile Details
| NPI number | 1114594025 |
|---|---|
| LBN Legal business name | Jung, Priscilla |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2021 |
| Last updated | Oct 13th, 2022 - about 4 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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