Individual provider · Type 1 NPI

Jungsoo Nam

Dentist · Bloomington, IN

NPI number 1194501031 Active

Practice location

330 N Jacob Dr
Bloomington, IN 47404-4823

Call (812) 323-7595 Map

Mailing address

1001 Shadow Ln
Las Vegas, NV 89106-4124

Other practice locations

  • 1001 Shadow Ln, Las Vegas, NV 89106-4124 · (702) 786-5928

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Dentist Primary 122300000X12014730A (IN)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1194501031

Jungsoo Nam's National Provider Identifier is 1194501031, issued on Sep 6, 2023. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Bloomington, IN. The record was last updated on May 29, 2025.