SOONG-RYONG JUNG DDS
NPI 1629239132
Dentist in Ann Arbor, MI

Q: What is Soong-ryong Jung's NPI number?

The NPI number for Soong-ryong Jung is 1629239132. It was assigned to this individual provider in the NPPES registry on June 18, 2008.

Q: What is Soong-ryong Jung's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Soong-ryong Jung was last updated on April 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.

Active since June 18, 2008PECOS Enrolled

1910 PACKARD ST STE B, ANN ARBOR, MI 48104(734) 478-7311 Get Directions Write a Review

NPPES record last updated: April 16, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Soong-ryong Jung Dds NPPES

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

SOONG-RYONG JUNG DDS (NPI 1629239132) is an individual dentist in Ann Arbor, Michigan, licensed in Michigan (2901019627) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629239132

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameSOONG-RYONG JUNGCredential: DDS

Location Address1910 PACKARD ST STE BAnn Arbor, MI 48104-4734

Mailing Address4478 Lake Forest Dr EAnn Arbor, MI 48108-9684 · (734) 214-0829 · Fax (313) 576-1129

Phone(734) 478-7311

Sole ProprietorYes

Enumeration DateJune 18, 2008

Last NPPES UpdateApril 16, 2018

✔ NPI 1629239132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in MI · 2901019627

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 ListedDentist · ProsthodonticsTaxonomy 1223P0700X · License 2901019627 (MI)

1910 PACKARD ST STE B, Ann Arbor, MI 48104

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Soong-ryong Jung Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Soong-ryong Jung's NPI number?

The NPI number for Soong-ryong Jung is 1629239132. It was assigned to this individual provider in the NPPES registry on June 18, 2008.

Where is Soong-ryong Jung located?

Soong-ryong Jung practices at 1910 Packard St Ste B, Ann Arbor, MI 48104. The listed phone number is (734) 478-7311.

What is Soong-ryong Jung's specialty?

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

Is Soong-ryong Jung enrolled in Medicare?

Yes. Soong-ryong Jung is registered in the Medicare PECOS enrollment system.

What insurance does Soong-ryong Jung accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Alabama and Blue Cross and Blue Shield of Montana and 11 other insurers list Soong-ryong Jung 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 Soong-ryong Jung was last updated on April 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.