Organization · Type 2 NPI

Charles Jeong DDS

Oral and Maxillofacial Surgery Clinic/Center · Flushing, NY

NPI number 1194385609 Active

Practice location

16410 Northern Blvd Ste 102
Flushing, NY 11358-2668

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center 261QD0000XNone listed
Oral and Maxillofacial Surgery Clinic/Center Primary 261QS0112XNone listed

Oral and Maxillofacial Surgery Clinic/Center: The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1194385609

Charles Jeong DDS's National Provider Identifier is 1194385609, issued on Jun 17, 2019. The primary taxonomy on file is Oral and Maxillofacial Surgery Clinic/Center (261QS0112X), and the practice location is in Flushing, NY. The record was last updated on Jun 17, 2019.