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CHANG WOO JUNG DMD
NPI 1245719780
Dentist - Prosthodontics in Ft Gordon, GA

Active since August 07, 2018
BLDG 38801 ACADEMIC DR, SUITE B&C, FT GORDON, GA 30905(706) 787-7050 Get Directions Write a Review

NPPES record last updated: July 20, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 20, 2023, Aug 26, 2019, Aug 7, 2018 (3 updates tracked since 2018).

About Chang Woo Jung Dmd NPPES

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

CHANG WOO JUNG DMD (NPI 1245719780) is an individual prosthodontics provider in Ft Gordon, Georgia, licensed in Illinois (019.031649) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1245719780
Entity TypeIndividualMale
Primary Taxonomy1223P0700X
Provider Legal NameCHANG WOO JUNGCredential: DMD
Location AddressBLDG 38801 ACADEMIC DR, SUITE B&CFt Gordon, GA 30905-5645
Mailing Address320 East Hospital RoadFort Gordon, GA 30905 · (706) 787-5102
Phone(706) 787-7050
Sole ProprietorNo
Enumeration DateAugust 7, 2018
Last NPPES UpdateJuly 20, 20233 updates tracked since enumeration
NPPES CertifiedJuly 17, 2023
✔ NPI 1245719780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · ProsthodonticsDental Providers
Taxonomy Code1223P0700X
License✔ Licensed in IL · 019.031649
Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

BLDG 38801 ACADEMIC DR, Ft Gordon, GA 30905
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Other Providers at the Same Location NPPES 2

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

MRS. LISA ANN HARWELL
Dental Assistant
BLDG 38801 ACADEMIC DR, SUITE B & C
FT GORDON, GA 30905
Richmond County (706) 787-6927
DR. CRYSTAL JO SMITH DDS
Dentist (General Practice)
BLDG 38801 ACADEMIC DR, SUITE B & C
FT GORDON, GA 30905
Richmond County (706) 787-6927

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 Chang Jung's NPI number?

The NPI number for Chang Jung is 1245719780. It was assigned to this individual provider in the NPPES registry on August 7, 2018.

Where is Chang Jung located?

Chang Jung practices at Bldg 38801 Academic Dr Suite B&c, Ft Gordon, GA 30905. The listed phone number is (706) 787-7050.

What is Chang Jung's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

When was this NPI record last updated?

The NPPES record for Chang Jung was last updated on July 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.