Provider Demographics
NPI:1225285505
Name:HONG, JUNG HEE (DDS)
Entity Type:Individual
Prefix:MR
First Name:JUNG
Middle Name:HEE
Last Name:HONG
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16990 MONTEREY RD
Mailing Address - Street 2:SUITE #100
Mailing Address - City:MORGAN HILL
Mailing Address - State:CA
Mailing Address - Zip Code:95037
Mailing Address - Country:US
Mailing Address - Phone:408-779-0410
Mailing Address - Fax:408-779-1490
Practice Address - Street 1:16990 MONTEREY RD
Practice Address - Street 2:SUITE #100
Practice Address - City:MORGAN HILL
Practice Address - State:CA
Practice Address - Zip Code:95037
Practice Address - Country:US
Practice Address - Phone:408-779-0410
Practice Address - Fax:408-779-1490
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-19
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA446001223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice