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JUNGSOO NAM
NPI 1194501031
Dentist in Bloomington, IN

Active since September 06, 2023
330 N JACOB DR, BLOOMINGTON, IN 47404(812) 323-7595 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 29, 2025, Sep 6, 2023 (2 updates tracked since 2023).

About Jungsoo Nam NPPES

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

JUNGSOO NAM (NPI 1194501031) is an individual dentist in Bloomington, Indiana, licensed in Indiana (12014730A) and active in the NPI registry since September 2023. She maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1194501031
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameJUNGSOO NAM
Location Address330 N JACOB DRBloomington, IN 47404-4823
Mailing Address1001 Shadow LnLas Vegas, NV 89106-4124
Phone(812) 323-7595
Sole ProprietorNo
Enumeration DateSeptember 6, 2023
Last NPPES UpdateMay 29, 20252 updates tracked since enumeration
NPPES CertifiedMay 29, 2025
✔ NPI 1194501031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IN · 12014730A
Definition
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 requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
330 N JACOB DR, Bloomington, IN 47404
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Secondary Practice Location 1

Location 11001 Shadow LnLas Vegas, NV 89106-4124 · Phone (702) 786-5928

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CS DENTAL LLC
Dentist (General Practice)
330 N JACOB DR
BLOOMINGTON, IN 47404
Monroe County (812) 323-7400
DR. JEFFERSON B DAI DDS
Dentist
330 N JACOB DR
BLOOMINGTON, IN 47404
Monroe County (812) 323-7400
DR. HYUNJI LEE
Dentist (General Practice)
330 N JACOB DR
BLOOMINGTON, IN 47404
Monroe County (812) 323-7400
LK DENTAL, LLC
Dentist (General Practice)
330 N JACOB DR
BLOOMINGTON, IN 47404
Monroe County (812) 323-7400
DR. ANUJ PATEL DDS
Dentist
330 N JACOB DR
BLOOMINGTON, IN 47404
Monroe County (812) 323-7400

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 Jungsoo Nam's NPI number?

The NPI number for Jungsoo Nam is 1194501031. It was assigned to this individual provider in the NPPES registry on September 6, 2023.

Where is Jungsoo Nam located?

Jungsoo Nam practices at 330 N Jacob Dr, Bloomington, IN 47404. The listed phone number is (812) 323-7595.

What is Jungsoo Nam's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Jungsoo Nam accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and BEST Life and 12 other insurers list Jungsoo Nam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jungsoo Nam was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.