SAME DAY DENTAL PA
NPI 1104204445
Dentist - General Practice in Fort Myers, FL

Active since May 06, 2015
9312 LA BIANCO ST, FORT MYERS, FL 33967(860) 325-0022 Get Directions Write a Review

NPPES record last updated: May 6, 2015. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Same Day Dental Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAME DAY DENTAL PA (NPI 1104204445) is a healthcare organization registered as a general practice in Fort Myers, Florida and active in the NPI registry since May 2015. The organization lists Jong Um, President, as its authorized official.

NPPES Registry Identity

NPI1104204445
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJONG UM DDS, INC
Location Address9312 LA BIANCO STFort Myers, FL 33967-5641
Mailing Address9312 La Bianco StFort Myers, FL 33967-5641 · (860) 325-0022
Organization SubpartNo
Authorized OfficialJong UmPresident · (860) 325-0022
Enumeration DateMay 6, 2015
NPI 1104204445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in FL · DN 20702
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
9312 LA BIANCO ST, Fort Myers, FL 33967

Other Names 1

Doing Business AsSame Day Dental Pa

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jong Um Dds, Inc's NPI number?

The NPI number for Jong Um Dds, Inc is 1104204445. It was assigned to this organization in the NPPES registry on May 6, 2015. The provider is doing business as Same Day Dental PA.

Where is Jong Um Dds, Inc located?

Jong Um Dds, Inc is located at 9312 La Bianco St, Fort Myers, FL 33967. The listed phone number is (860) 325-0022.

What is Jong Um Dds, Inc's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jong Um Dds, Inc was last updated on May 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.