Kang, Han Jong
Kang, Han Jong is an sole proprietor health care provider with primary practice located at 777 Broad Ave , Ridgefield NJ 07657-1001. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Kang, Han Jong can be contacted via phone (201) 945-0123.Contact Information
Primary practice address
777 Broad Ave
Ridgefield NJ 07657-1001
Phone: (201) 945-0123
Fax: (201) 313-5252
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DI0211300 | New Jersey |
| Dental Providers / General Practice | 1223G0001X | 048768 | New York |
Profile Details
| NPI number | 1346235397 |
|---|---|
| LBN Legal business name | Kang, Han Jong |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 15th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1346235397 | NPPES |
| New York | MEDICAID | 02064120 |
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